Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $36.70 / $48.59	Professional		$26.28	$36.70	$48.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $33.93 / $33.93	Professional		$33.93	$33.93	$33.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $89.21 / $103.23	Professional		$75.06	$89.21	$103.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $64.54 / $108.78	Professional		$55.44	$64.54	$108.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $29.23 / $29.23	Professional		$29.23	$29.23	$29.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $73.56 / $101.65	Professional		$33.93	$73.56	$101.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $76.15 / $98.39	Professional		$57.94	$76.15	$98.39
United Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $39.29 / $102.33	Professional		$25.45	$39.29	$102.33