Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $30.47 / $148.57	Professional		$22.23	$30.47	$148.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $34.94 / $34.94	Professional		$34.94	$34.94	$34.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $98.00 / $117.46	Professional		$44.01	$98.00	$117.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $43.94 / $66.06	Facility		$30.73	$43.94	$66.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $49.34 / $53.05	Professional		$37.97	$49.34	$53.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $50.52 / $57.72	Facility		$49.34	$50.52	$57.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $44.29 / $66.06	Facility		$30.73	$44.29	$66.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $48.09 / $57.71	Professional		$37.47	$48.09	$57.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $23.08 / $44.04	Professional		$21.97	$23.08	$44.04