Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $14.53 / $56.67	Professional		$9.01	$14.53	$56.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $28.33 / $30.97	Professional		$26.72	$28.33	$30.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $26.86 / $31.18	Professional		$12.06	$26.86	$31.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $20.78 / $31.24	Facility		$14.53	$20.78	$31.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $17,150.38 / $18,772.80	Professional		$23.91	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $23.56 / $24.79	Facility		$20.35	$23.56	$24.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $20.78 / $31.24	Facility		$14.53	$20.78	$31.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $26.72 / $30.97	Professional		$14.95	$26.72	$30.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $37.11 / $48.37	Facility		$19.03	$37.11	$48.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $31.68 / $31.68	Professional		$31.68	$31.68	$31.68
United Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $20.46 / $32.27	Professional		$16.73	$20.46	$32.27