Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.26 / $5.15	Professional		$4.12	$4.26	$5.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $53.64 / $62.99	Professional		$43.13	$53.64	$62.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $5.67 / $45.52	Facility		$4.26	$5.67	$45.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $22.24 / $25.05	Professional		$21.63	$22.24	$25.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $24.11 / $29.60	Facility		$22.24	$24.11	$29.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $21.68 / $34.38	Facility		$4.26	$21.68	$34.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $20.58 / $25.50	Professional		$13.56	$20.58	$25.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $25.05 / $25.05	Professional		$23.80	$25.05	$25.05
United Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $11.96 / $22.24	Professional		$11.96	$11.96	$22.24