Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $30.00 / $109.00	Professional		$15.17	$30.00	$109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $98.61 / $115.79	Professional		$80.12	$98.61	$115.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $47.51 / $90.59	Facility		$35.08	$47.51	$90.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $45.13 / $49.89	Professional		$37.19	$45.13	$49.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $47.51 / $52.26	Facility		$42.76	$47.51	$52.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Professional		$37.74	$37.74	$37.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $47.51 / $87.89	Facility		$35.08	$47.51	$87.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $41.60 / $51.04	Professional		$19.38	$41.60	$51.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $52.26 / $52.26	Professional		$49.65	$52.26	$52.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $20.14 / $38.44	Professional		$19.25	$20.14	$38.44