Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $29.90 / $47.85	Professional		$17.76	$29.90	$47.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $42.42 / $81.08	Professional		$21.99	$42.42	$81.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $64.51 / $82.46	Professional		$34.50	$64.51	$82.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $36.89 / $64.73	Facility		$19.70	$36.89	$64.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $54.06 / $70.31	Professional		$28.83	$54.06	$70.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $57.18 / $69.68	Facility		$23.50	$57.18	$69.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $40.56 / $85.49	Facility		$20.00	$40.56	$85.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $64.77 / $85.08	Professional		$33.39	$64.77	$85.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $29.95 / $55.96	Professional		$22.53	$29.95	$55.96
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $58.00 / $90.67	Professional		$38.61	$58.00	$90.67