Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $85.11	Professional		$15.14	$25.12	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $41.69 / $93.33	Professional		$22.39	$41.69	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $177.83	Professional		$36.31	$58.88	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.30 / $38.02	Facility		$19.05	$26.30	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $74.13	Professional		$24.55	$38.02	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $60.26 / $63.10	Facility		$43.65	$60.26	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.30 / $38.02	Facility		$19.05	$26.30	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $75.86	Professional		$28.84	$40.74	$75.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $60.26	Professional		$22.39	$30.20	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $79.43	Professional		$20.42	$43.65	$79.43