Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $21.93 / $40.72	Professional		$15.48	$21.93	$40.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $33.42 / $49.17	Professional		$16.55	$33.42	$49.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $36.08 / $41.03	Professional		$17.20	$36.08	$41.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $28.49 / $31.99	Professional	26	$13.41	$28.49	$31.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $27.50 / $44.55	Professional		$19.47	$27.50	$44.55
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $23.80 / $26.13	Facility	26	$17.14	$23.80	$26.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $32.40 / $49.88	Professional		$19.55	$32.40	$49.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $31.66 / $45.91	Professional		$19.32	$31.66	$45.91
United Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $29.14 / $53.18	Professional		$19.27	$29.14	$53.18