Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $43.65	Professional		$23.99	$34.67	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $61.66	Professional		$23.99	$52.48	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $47.86	Facility		$39.81	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $72.44	Professional		$26.30	$40.74	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $58.88	Professional		$26.92	$42.66	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.23 / $28.84	Professional		$9.77	$10.23	$28.84