Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $50.59 / $66.20	Professional		$43.47	$50.59	$66.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $65.03 / $65.03	Facility		$65.03	$65.03	$65.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $49.10	Professional		$49.10	$49.10	$49.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $115.30 / $137.12	Professional		$97.70	$115.30	$137.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $72.81 / $134.30	Facility		$51.64	$72.81	$134.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $102.30 / $175.05	Professional		$88.06	$102.30	$175.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $106.96 / $110.16	Facility		$77.08	$106.96	$110.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.11 / $86.06 / $140.72	Facility		$53.11	$86.06	$140.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $114.78 / $148.08	Professional		$54.87	$114.78	$148.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $122.19 / $155.38	Professional		$88.81	$122.19	$155.38
United Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $111.81 / $166.40	Professional		$76.80	$111.81	$166.40