Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $24.36 / $35.15	Professional		$17.64	$24.36	$35.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $42.02 / $92.44	Professional		$24.88	$42.02	$92.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $57.25 / $178.00	Professional		$29.99	$57.25	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $28.37 / $44.83	Facility		$21.02	$28.37	$44.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $39.22 / $72.16	Professional		$26.52	$39.22	$72.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $53.01 / $62.98	Facility		$35.78	$53.01	$62.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $28.29 / $41.54	Facility		$20.98	$28.29	$41.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $43.52 / $69.44	Professional		$29.15	$43.52	$69.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $30.04 / $31.62	Professional		$22.29	$30.04	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $51.62 / $91.23	Professional		$20.49	$51.62	$91.23