Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $57.72 / $80.11	Professional		$47.32	$57.72	$80.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $102.50 / $119.16	Professional		$102.50	$102.50	$119.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $36.01 / $127.01	Professional		$31.51	$36.01	$127.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $80.11 / $113.15	Facility		$36.90	$80.11	$113.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $98.15 / $110.49	Professional		$76.16	$98.15	$110.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $89.11 / $105.19	Facility		$74.20	$89.11	$105.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $78.59 / $113.15	Facility		$36.90	$78.59	$113.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $98.34 / $120.59	Professional		$73.01	$98.34	$120.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $77.22 / $120.09	Professional		$73.36	$77.22	$120.09
United Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $103.42 / $157.69	Professional		$61.14	$103.42	$157.69