Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $44.67	Professional		$14.13	$22.91	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $42.66	Professional		$25.70	$32.36	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $177.83	Professional		$38.02	$52.48	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.12 / $34.67	Facility		$18.20	$25.12	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $66.07	Professional		$23.44	$33.11	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.70 / $54.95	Facility		$38.90	$53.70	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.12 / $34.67	Facility		$18.20	$25.12	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $51.29	Professional		$27.54	$34.67	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $56.23	Professional		$20.89	$26.30	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $69.18	Professional		$22.91	$38.90	$69.18