Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $69.18	Professional		$33.88	$41.69	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $125.89	Professional		$33.11	$35.48	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $53.70 / $97.72	Facility		$32.36	$53.70	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $112.20	Professional		$44.67	$77.62	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $85.11	Facility		$66.07	$77.62	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $53.70 / $97.72	Facility		$14.45	$53.70	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $87.10	Professional		$40.74	$40.74	$87.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $70.79	Professional		$66.07	$67.61	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $120.23	Professional		$41.69	$81.28	$120.23