Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $44.67	Professional		$19.95	$33.11	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $123.03	Professional		$81.28	$95.50	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.86 / $95.50	Facility		$28.84	$47.86	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $44.67	Professional		$19.95	$33.88	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $89.13	Facility		$72.44	$87.10	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $50.12 / $95.50	Facility		$28.18	$50.12	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $89.13	Professional		$38.02	$38.02	$89.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $123.03	Professional		$89.13	$97.72	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $47.86	Professional		$19.05	$28.84	$47.86