Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $141.25	Professional		$33.88	$53.70	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $213.80	Professional		$57.54	$100.00	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $186.21	Professional		$91.20	$138.04	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $91.20	Facility		$46.77	$58.88	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $169.82	Professional		$61.66	$87.10	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $144.54	Facility		$95.50	$138.04	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $85.11	Facility		$43.65	$58.88	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $134.90	Professional		$74.13	$89.13	$134.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $147.91	Professional		$54.95	$69.18	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $104.71 / $186.21	Professional		$42.66	$104.71	$186.21