Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $79.30 / $312.06	Professional		$31.74	$79.30	$312.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $76.44	Professional		$44.13	$44.13	$76.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $194.60 / $237.88	Professional		$64.90	$194.60	$237.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $94.80 / $109.56	Facility		$77.40	$94.80	$109.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $97.35 / $108.17	Professional		$81.19	$97.35	$108.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $105.63 / $118.99	Facility		$85.85	$105.63	$118.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $108.17 / $113.58	Professional		$94.51	$108.17	$113.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $94.71 / $108.64	Facility		$65.02	$94.71	$108.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $94.71 / $118.99	Professional		$44.13	$94.71	$118.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $118.99 / $118.99	Professional		$93.03	$118.99	$118.99
United Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $45.86 / $87.51	Professional		$43.17	$45.86	$87.51