Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $23.95 / $39.02	Professional		$12.06	$23.95	$39.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $86.76 / $101.90	Professional		$69.77	$86.76	$101.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.72 / $39.72 / $72.25	Facility		$31.72	$39.72	$72.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $41.11 / $45.43	Professional		$32.51	$41.11	$45.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $42.26 / $49.76	Facility		$34.34	$42.26	$49.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $43.27 / $47.60	Professional		$37.82	$43.27	$47.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.72 / $41.19 / $72.25	Facility		$31.72	$41.19	$72.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $37.89 / $46.27	Professional		$22.09	$37.89	$46.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $47.60 / $47.60	Professional		$45.22	$47.60	$47.60
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $17.25	Professional		$15.00	$15.00	$17.25