Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.40 / $49.38	Professional		$5.01	$12.40	$49.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $33.90 / $39.83	Professional		$27.27	$33.90	$39.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $15.72 / $28.90	Facility		$12.55	$15.72	$28.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $16.25 / $17.97	Professional		$12.85	$16.25	$17.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $16.71 / $19.68	Facility		$13.58	$16.71	$19.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $17.11 / $18.82	Professional		$13.58	$17.11	$18.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $16.29 / $28.90	Facility		$12.55	$16.29	$28.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $14.99 / $18.30	Professional		$8.75	$14.99	$18.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $18.82 / $18.82	Professional		$17.88	$18.82	$18.82
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $7.26 / $13.85	Professional		$6.83	$7.26	$13.85