Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $20.54 / $71.14	Professional		$9.26	$20.54	$71.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $52.55 / $62.98	Professional		$23.60	$52.55	$62.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $24.66 / $29.37	Facility		$15.12	$24.66	$29.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $24.08 / $26.14	Professional		$23.43	$24.08	$26.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $24.08 / $28.36	Facility		$22.19	$24.08	$28.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $23.47 / $29.37	Facility		$17.66	$23.47	$29.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $23.47 / $28.16	Professional		$19.43	$23.47	$28.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $67.45 / $96.69	Facility		$34.97	$67.45	$96.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $18.73 / $19.73	Professional		$18.73	$18.73	$19.73
United Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $36.07 / $63.07	Professional		$20.30	$36.07	$63.07