Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $87.10	Professional		$21.88	$33.88	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $60.26 / $131.83	Professional		$34.67	$60.26	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $177.83	Professional		$54.95	$85.11	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.02 / $54.95	Facility		$28.84	$38.02	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $107.15	Professional		$37.15	$54.95	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $91.20	Facility		$63.10	$87.10	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $37.15 / $54.95	Facility		$28.84	$37.15	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $85.11	Professional		$44.67	$60.26	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $89.13	Professional		$33.11	$42.66	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $114.82	Professional		$37.15	$64.57	$114.82