Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.11 / $27.88	Professional		$15.06	$21.11	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $61.50 / $101.84	Professional		$35.00	$61.50	$101.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $56.00 / $178.00	Professional		$36.52	$56.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $27.00 / $42.31	Facility		$20.97	$27.00	$42.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $33.42 / $62.32	Professional		$24.96	$33.42	$62.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $48.00 / $54.94	Facility		$32.15	$48.00	$54.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $26.39 / $39.54	Facility		$20.22	$26.39	$39.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $47.06 / $91.00	Professional		$30.00	$47.06	$91.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $26.49 / $28.06	Professional		$21.00	$26.49	$28.06
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $46.40 / $86.44	Professional		$25.98	$46.40	$86.44