Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $59.67 / $79.56	Professional		$49.25	$59.67	$79.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.15 / $103.15 / $119.13	Professional		$103.15	$103.15	$119.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $39.20 / $138.44	Professional		$34.29	$39.20	$138.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $83.54 / $112.42	Facility		$38.51	$83.54	$112.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $97.60 / $118.88	Professional		$81.09	$97.60	$118.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $97.13 / $104.52	Facility		$72.69	$97.13	$104.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $79.56 / $112.42	Facility		$38.51	$79.56	$112.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $99.00 / $124.80	Professional		$73.50	$99.00	$124.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $84.24 / $131.01	Professional		$80.03	$84.24	$131.01
United Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $106.26 / $159.18	Professional		$55.58	$106.26	$159.18