Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $55.93 / $130.16	Professional		$43.90	$55.93	$130.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $47.91 / $47.91	Professional		$47.91	$47.91	$47.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $43.96 / $151.19	Professional		$38.47	$43.96	$151.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $69.69 / $128.38	Facility		$19.32	$69.69	$128.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $92.11 / $130.19	Professional		$79.56	$92.11	$130.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.64 / $99.83 / $107.87	Facility		$73.64	$99.83	$107.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $69.69 / $128.38	Facility		$19.32	$69.69	$128.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $100.44 / $110.45	Professional		$70.22	$100.44	$110.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $87.21 / $141.02	Professional		$83.93	$87.21	$141.02
United Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $104.99 / $161.75	Professional		$54.13	$104.99	$161.75