Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $125.89	Professional		$60.26	$83.18	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $199.53	Professional		$26.92	$36.31	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $177.83	Professional		$151.36	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $151.36	Facility		$85.11	$85.11	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $125.89	Professional		$60.26	$83.18	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $426.58	Facility		$281.84	$398.11	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $147.91	Facility		$85.11	$87.10	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $70.79	Professional		$46.77	$54.95	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82