Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $48.24 / $120.00	Professional		$34.96	$48.24	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $106.50 / $125.06	Professional		$86.53	$106.50	$125.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $51.45 / $156.24	Facility		$37.97	$51.45	$156.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $48.88 / $54.02	Professional		$40.27	$48.88	$54.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $51.45 / $56.60	Facility		$46.31	$51.45	$56.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $51.45 / $155.52	Facility		$37.97	$51.45	$155.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $45.05 / $56.60	Professional		$20.99	$45.05	$56.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $56.60 / $56.60	Professional		$53.77	$56.60	$56.60
United Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $21.81 / $41.62	Professional		$20.84	$21.81	$41.62