Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $50.12	Professional		$28.18	$32.36	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $81.28	Professional		$28.18	$53.70	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $177.83	Professional		$70.79	$102.33	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $44.67 / $70.79	Facility		$31.62	$44.67	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $120.23	Professional		$46.77	$63.10	$120.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $102.33	Facility		$70.79	$100.00	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $63.10	Facility		$34.67	$44.67	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $64.57 / $81.28	Professional		$31.62	$64.57	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $117.49	Professional		$43.65	$48.98	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $131.83	Professional		$43.65	$75.86	$131.83