Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $79.43	Professional		$39.81	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $251.19	Professional		$69.18	$117.49	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $208.93	Professional		$109.65	$162.18	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $107.15	Facility		$52.48	$67.61	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $199.53	Professional		$72.44	$104.71	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $169.82	Facility		$109.65	$165.96	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $100.00	Facility		$50.12	$67.61	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $158.49	Professional		$79.43	$107.15	$158.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $177.83	Professional		$66.07	$81.28	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $125.89 / $218.78	Professional		$48.98	$125.89	$218.78