Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $57.96 / $200.71	Professional		$26.11	$57.96	$200.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Professional		$56.91	$56.91	$56.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $147.01 / $176.16	Professional		$66.02	$147.01	$176.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $69.56 / $82.88	Facility		$42.98	$69.56	$82.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $67.94 / $73.73	Professional		$66.09	$67.94	$73.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $67.94 / $80.01	Facility		$62.61	$67.94	$80.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $66.22 / $82.88	Facility		$57.76	$66.22	$82.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $66.22 / $79.45	Professional		$54.83	$66.22	$79.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.18 / $188.09 / $270.52	Facility		$98.18	$188.09	$270.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $52.88 / $55.66	Professional		$52.88	$52.88	$55.66
United Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $101.79 / $177.93	Professional		$57.24	$101.79	$177.93