Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $59.89 / $89.00	Professional		$26.93	$59.89	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.53 / $75.73 / $88.92	Professional		$61.53	$75.73	$88.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $36.47 / $97.99	Facility		$26.93	$36.47	$97.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $34.65 / $38.29	Professional		$28.56	$34.65	$38.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.82 / $36.47 / $40.11	Facility		$32.82	$36.47	$40.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $36.47 / $97.92	Facility		$26.93	$36.47	$97.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $31.94 / $39.18	Professional		$14.88	$31.94	$39.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $40.11 / $40.11	Professional		$38.11	$40.11	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $15.47 / $29.51	Professional		$14.78	$15.47	$29.51