Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $28.88 / $113.64	Professional		$11.56	$28.88	$113.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $26.07	Facility		$26.07	$26.07	$26.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $22.16	Professional		$16.07	$22.16	$22.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $71.01 / $86.82	Professional		$27.57	$71.01	$86.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $34.52 / $39.84	Facility		$28.19	$34.52	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $35.44 / $39.38	Professional		$29.29	$35.44	$39.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $38.46 / $45.29	Facility		$35.31	$38.46	$45.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $39.38 / $41.35	Professional		$35.31	$39.38	$41.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $33.83 / $39.38	Facility		$23.68	$33.83	$39.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $34.49 / $42.11	Professional		$16.07	$34.49	$42.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $43.32 / $43.32	Professional		$33.86	$43.32	$43.32
United Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $16.70 / $31.87	Professional		$15.73	$16.70	$31.87