Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $30.91 / $103.00	Professional		$19.93	$30.91	$103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $88.34 / $103.75	Professional		$71.78	$88.34	$103.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.48 / $42.64 / $91.25	Facility		$31.48	$42.64	$91.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $40.51 / $44.77	Professional		$33.36	$40.51	$44.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $42.64 / $46.90	Facility		$38.38	$42.64	$46.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.48 / $42.64 / $89.28	Facility		$31.48	$42.64	$89.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $37.33 / $45.80	Professional		$17.39	$37.33	$45.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $46.90 / $46.90	Professional		$44.56	$46.90	$46.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $18.07 / $34.65	Professional		$17.27	$18.07	$34.65