Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $39.79 / $158.37	Professional		$16.11	$39.79	$158.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $109.64 / $128.75	Professional		$88.15	$109.64	$128.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $50.40 / $91.80	Facility		$40.24	$50.40	$91.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $52.15 / $57.63	Professional		$41.24	$52.15	$57.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $53.60 / $63.12	Facility		$43.56	$53.60	$63.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $54.89 / $54.89	Professional		$47.96	$54.89	$54.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $52.24 / $91.80	Facility		$40.24	$52.24	$91.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $48.06 / $58.69	Professional		$28.02	$48.06	$58.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $60.38 / $60.38	Professional		$57.36	$60.38	$60.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $23.27 / $44.40	Professional		$21.03	$23.27	$44.40