Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $40.86 / $106.00	Professional		$30.35	$40.86	$106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $193.03 / $231.59	Professional		$158.56	$193.03	$231.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.14 / $95.02 / $180.43	Facility		$70.14	$95.02	$180.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $90.27 / $99.77	Professional		$74.39	$90.27	$99.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.52 / $95.02 / $104.52	Facility		$85.52	$95.02	$104.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.14 / $95.02 / $175.05	Facility		$70.14	$95.02	$175.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $83.20 / $102.07	Professional		$38.77	$83.20	$102.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $104.52 / $104.52	Professional		$99.29	$104.52	$104.52
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $40.29 / $78.87	Professional		$38.50	$40.29	$78.87