Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $30.22 / $104.66	Professional		$13.62	$30.22	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Professional		$21.60	$21.60	$21.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $76.70 / $91.91	Professional		$34.45	$76.70	$91.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $36.27 / $43.21	Facility		$15.56	$36.27	$43.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $35.42 / $38.45	Professional		$34.46	$35.42	$38.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $35.42 / $41.71	Facility		$32.64	$35.42	$41.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $34.52 / $43.21	Facility		$22.68	$34.52	$43.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $34.52 / $41.42	Professional		$21.60	$34.52	$41.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $97.59 / $141.13	Facility		$51.55	$97.59	$141.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $27.57 / $29.02	Professional		$27.57	$27.57	$29.02
United Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $52.65 / $92.76	Professional		$21.25	$52.65	$92.76