Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $35.50 / $164.37	Professional		$16.72	$35.50	$164.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $40.26	Professional		$23.24	$23.24	$40.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $102.28 / $125.03	Professional		$33.89	$102.28	$125.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $42.44 / $53.26	Facility		$34.65	$42.44	$53.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $38.25 / $50.84	Professional		$36.00	$38.25	$50.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $48.42 / $56.97	Facility		$38.43	$48.42	$56.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $54.98 / $56.97	Professional		$42.31	$54.98	$56.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $42.44 / $49.88	Facility		$34.24	$42.44	$49.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $42.40 / $56.75	Professional		$23.24	$42.40	$56.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $53.26 / $53.26	Professional		$46.09	$53.26	$53.26
United Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $24.16 / $46.09	Professional		$22.99	$24.16	$46.09