Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $29.75 / $118.40	Professional		$12.05	$29.75	$118.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $82.04 / $96.35	Professional		$65.97	$82.04	$96.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $37.69 / $68.84	Facility		$30.09	$37.69	$68.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $38.99 / $43.09	Professional		$30.84	$38.99	$43.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $40.08 / $47.20	Facility		$32.58	$40.08	$47.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $41.04 / $45.14	Professional		$35.86	$41.04	$45.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $39.06 / $68.84	Facility		$30.09	$39.06	$68.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $35.93 / $43.89	Professional		$20.95	$35.93	$43.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $45.14 / $45.14	Professional		$42.88	$45.14	$45.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $17.39 / $33.20	Professional		$15.73	$17.39	$33.20