Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $40.42 / $56.69	Professional		$29.59	$40.42	$56.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Professional		$36.90	$36.90	$36.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $87.95 / $100.56	Professional		$43.61	$87.95	$100.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $56.69 / $86.92	Facility		$24.01	$56.69	$86.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $70.19 / $94.26	Professional		$52.00	$70.19	$94.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $76.19 / $84.42	Facility		$49.45	$76.19	$84.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $60.12 / $107.26	Facility		$33.58	$60.12	$107.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $81.00 / $101.76	Professional		$36.90	$81.00	$101.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $71.25 / $113.73	Professional		$62.69	$71.25	$113.73
United Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $70.75 / $110.45	Professional		$46.74	$70.75	$110.45