Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $61.20 / $80.36	Professional		$30.17	$61.20	$80.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Professional		$35.07	$35.07	$35.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $155.24 / $189.27	Professional		$97.43	$155.24	$189.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.23 / $80.36 / $143.65	Facility		$54.23	$80.36	$143.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $92.56 / $102.30	Professional		$73.20	$92.56	$102.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $92.92 / $97.43	Facility		$77.34	$92.92	$97.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $92.92 / $97.43	Professional		$87.69	$92.92	$97.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $84.38 / $143.65	Facility		$54.25	$84.38	$143.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $81.17 / $114.17	Professional		$35.07	$81.17	$114.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $107.17 / $107.17	Professional		$92.73	$107.17	$107.17
United Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $36.46 / $69.55	Professional		$34.31	$36.46	$69.55