Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $39.90 / $45.69	Professional		$18.30	$39.90	$45.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $25.43 / $25.43	Professional		$21.50	$25.43	$25.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $124.63 / $146.35	Professional		$100.20	$124.63	$146.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.69 / $57.23 / $104.55	Facility		$45.69	$57.23	$104.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $59.20 / $65.44	Professional		$46.80	$59.20	$65.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.48 / $60.86 / $68.55	Facility		$49.48	$60.86	$68.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $62.32 / $62.32	Professional		$50.19	$62.32	$62.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.69 / $59.32 / $104.55	Facility		$45.69	$59.32	$104.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $54.57 / $65.97	Professional		$21.50	$54.57	$65.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $68.55 / $68.55	Professional		$65.12	$68.55	$68.55
United Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $26.43 / $50.66	Professional		$24.44	$26.43	$50.66