Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $53.39 / $88.46	Professional		$25.91	$53.39	$88.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $170.00 / $203.78	Professional		$141.01	$170.00	$203.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $83.72 / $153.69	Facility		$61.81	$83.72	$153.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $79.53 / $87.91	Professional		$65.54	$79.53	$87.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $83.72 / $96.28	Facility		$75.34	$83.72	$96.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $66.52 / $66.52	Professional		$66.52	$66.52	$66.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $83.72 / $149.12	Facility		$61.81	$83.72	$149.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $73.31 / $89.94	Professional		$34.15	$73.31	$89.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $92.09 / $92.09	Professional		$87.49	$92.09	$92.09
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $35.50 / $67.73	Professional		$33.92	$35.50	$67.73