Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $31.20 / $38.61	Professional		$22.92	$31.20	$38.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $68.97 / $105.64	Professional		$43.00	$68.97	$105.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $81.40 / $178.00	Professional		$49.67	$81.40	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $37.21 / $64.84	Facility		$30.20	$37.21	$64.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $49.43 / $90.45	Professional		$38.22	$49.43	$90.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $65.66 / $79.06	Facility		$46.23	$65.66	$79.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.57 / $54.51	Facility		$30.20	$36.57	$54.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $62.55 / $100.72	Professional		$42.63	$62.55	$100.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $38.11 / $40.68	Professional		$32.29	$38.11	$40.68
United Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $62.10 / $102.87	Professional		$37.35	$62.10	$102.87