Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $42.31 / $166.49	Professional		$23.08	$42.31	$166.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Professional		$31.73	$31.73	$31.73
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 $42.31 / $57.71 / $104.55	Facility		$42.31	$57.71	$104.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $54.82 / $60.60	Professional		$44.16	$54.82	$60.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.36 / $57.71 / $68.84	Facility		$56.36	$57.71	$68.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $50.41 / $50.41	Professional		$50.41	$50.41	$50.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $54.93 / $100.99	Facility		$42.31	$54.93	$100.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $50.53 / $61.71	Professional		$31.73	$50.53	$61.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $63.48 / $63.48	Professional		$60.31	$63.48	$63.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $26.35 / $50.28	Professional		$25.18	$26.35	$50.28