Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $39.81	Professional		$15.14	$18.20	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.90 / $52.48	Professional		$17.38	$30.90	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.02 / $44.67	Professional		$18.62	$38.02	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $46.77	Professional		$20.89	$30.20	$46.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $61.66	Professional		$21.38	$34.67	$61.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $46.77	Professional		$19.95	$35.48	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $61.66	Professional		$18.20	$30.90	$61.66