Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $44.64 / $56.73	Professional		$27.50	$44.64	$56.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $82.53 / $173.07	Professional		$47.80	$82.53	$173.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $115.69 / $178.00	Professional		$60.61	$115.69	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.39 / $52.86 / $87.05	Facility		$41.39	$52.86	$87.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $72.90 / $134.54	Professional		$52.65	$72.90	$134.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $97.47 / $117.92	Facility		$65.28	$97.47	$117.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.39 / $52.86 / $79.66	Facility		$41.39	$52.86	$79.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $83.50 / $135.66	Professional		$58.29	$83.50	$135.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $55.56 / $58.92	Professional		$43.61	$55.56	$58.92
United Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $99.12 / $172.20	Professional		$34.50	$99.12	$172.20