Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $51.79 / $287.63	Professional		$37.77	$51.79	$287.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $82.96	Professional		$43.91	$43.91	$82.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $201.75 / $252.88	Professional		$72.51	$201.75	$252.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $88.31 / $103.59	Facility		$51.79	$88.31	$103.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $93.23 / $103.59	Professional		$77.03	$93.23	$103.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.88 / $103.30 / $113.95	Facility		$100.88	$103.30	$113.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $90.71 / $103.59	Facility		$51.79	$90.71	$103.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $90.71 / $113.95	Professional		$43.91	$90.71	$113.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $172.28 / $363.44	Facility		$86.31	$172.28	$363.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $113.95 / $113.95	Professional		$89.09	$113.95	$113.95
United Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $45.64 / $87.47	Professional		$43.60	$45.64	$87.47