Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $31.25 / $50.18	Professional		$29.98	$31.25	$50.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $75.50 / $107.03	Professional		$45.02	$75.50	$107.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $108.75 / $178.00	Professional		$60.79	$108.75	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $48.07 / $83.70	Facility		$34.47	$48.07	$83.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $63.35 / $117.05	Professional		$51.87	$63.35	$117.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $85.50 / $101.84	Facility		$60.30	$85.50	$101.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $46.97 / $67.08	Facility		$34.47	$46.97	$67.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $75.00 / $113.40	Professional		$51.06	$75.00	$113.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $49.42 / $54.37	Professional		$43.61	$49.42	$54.37
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $76.50 / $132.52	Professional		$48.72	$76.50	$132.52