Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $19.32 / $63.85	Professional		$12.24	$19.32	$63.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $24.14 / $40.13	Professional		$12.21	$24.14	$40.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $29.56 / $35.42	Professional		$26.69	$29.56	$35.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $21.53 / $152.88	Facility		$14.05	$21.53	$152.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $23.56 / $101.87	Professional		$20.25	$23.56	$101.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.13 / $96.86	Facility		$18.62	$26.13	$96.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $25.42 / $83.43	Facility		$14.85	$25.42	$83.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $25.94 / $40.07	Professional		$21.87	$25.94	$40.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $26.66 / $36.08	Professional		$18.82	$26.66	$36.08
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $22.41 / $42.54	Professional		$16.64	$22.41	$42.54