Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $40.52 / $99.43	Professional		$34.42	$40.52	$99.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $37.79 / $37.79	Professional		$37.79	$37.79	$37.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $34.88 / $119.22	Professional		$30.52	$34.88	$119.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $54.30 / $98.25	Facility		$14.56	$54.30	$98.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $71.89 / $102.70	Professional		$62.22	$71.89	$102.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $77.05 / $84.42	Facility		$56.69	$77.05	$84.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $54.30 / $98.25	Facility		$14.56	$54.30	$98.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $79.70 / $87.12	Professional		$54.36	$79.70	$87.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $67.83 / $111.91	Professional		$66.59	$67.83	$111.91
United Facility/Professional Professional Modifier Low / Median / High Price $45.65 / $80.48 / $118.86	Professional		$45.65	$80.48	$118.86