Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $17.04 / $67.80	Professional		$6.90	$17.04	$67.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $47.34 / $55.59	Professional		$38.06	$47.34	$55.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $21.58 / $39.10	Facility		$17.23	$21.58	$39.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $22.33 / $24.68	Professional		$17.66	$22.33	$24.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $22.95 / $27.03	Facility		$18.64	$22.95	$27.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $23.50 / $25.85	Professional		$18.64	$23.50	$25.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $22.37 / $39.10	Facility		$17.23	$22.37	$39.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.58 / $25.13	Professional		$12.00	$20.58	$25.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $25.85 / $25.85	Professional		$24.56	$25.85	$25.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $9.97 / $19.01	Professional		$9.21	$9.97	$19.01