Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.71 / $109.00	Professional		$12.88	$26.71	$109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $17.09	Professional		$17.09	$17.09	$17.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $86.76 / $101.90	Professional		$70.48	$86.76	$101.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $41.89 / $77.22	Facility		$30.92	$41.89	$77.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $39.79 / $43.98	Professional		$32.79	$39.79	$43.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $41.89 / $46.08	Facility		$37.70	$41.89	$46.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $41.89 / $74.92	Facility		$30.92	$41.89	$74.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $36.68 / $45.00	Professional		$17.09	$36.68	$45.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $46.08 / $46.08	Professional		$43.78	$46.08	$46.08
United Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $17.77 / $33.89	Professional		$16.97	$17.77	$33.89