Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $54.44 / $212.75	Professional		$30.97	$54.44	$212.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.33 / $153.02 / $179.71	Professional		$124.33	$153.02	$179.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $73.73 / $157.78	Facility		$54.44	$73.73	$157.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $70.04 / $77.42	Professional		$57.72	$70.04	$77.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.36 / $73.73 / $91.23	Facility		$66.36	$73.73	$91.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $58.56 / $58.56	Professional		$58.56	$58.56	$58.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $73.73 / $147.38	Facility		$54.44	$73.73	$147.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $64.56 / $79.20	Professional		$30.08	$64.56	$79.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $81.09 / $81.09	Professional		$77.05	$81.09	$81.09
United Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $31.27 / $59.65	Professional		$29.87	$31.27	$59.65