Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $64.37 / $80.22	Professional		$39.90	$64.37	$80.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $125.42 / $248.79	Professional		$69.44	$125.42	$248.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $171.89 / $202.95	Professional		$91.25	$171.89	$202.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $75.14 / $130.93	Facility		$58.19	$75.14	$130.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $105.57 / $176.67	Professional		$78.62	$105.57	$176.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $140.22 / $169.51	Facility		$93.48	$140.22	$169.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $75.14 / $107.81	Facility		$58.19	$75.14	$107.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $122.50 / $203.56	Professional		$88.31	$122.50	$203.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $80.43 / $85.57	Professional		$66.54	$80.43	$85.57
United Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $142.10 / $251.13	Professional		$46.50	$142.10	$251.13