Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $54.93 / $67.01	Professional		$33.71	$54.93	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $103.34 / $211.43	Professional		$58.62	$103.34	$211.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $146.01 / $181.76	Professional		$76.59	$146.01	$181.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $63.74 / $110.01	Facility		$51.04	$63.74	$110.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $89.72 / $163.44	Professional		$66.03	$89.72	$163.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $119.70 / $144.05	Facility		$79.26	$119.70	$144.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $63.56 / $93.91	Facility		$51.04	$63.56	$93.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $102.50 / $170.12	Professional		$73.52	$102.50	$170.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $68.48 / $72.08	Professional		$55.56	$68.48	$72.08
United Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $127.09 / $210.11	Professional		$40.50	$127.09	$210.11