Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $29.49 / $102.12	Professional		$13.28	$29.49	$102.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Professional		$29.14	$29.14	$29.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $75.29 / $90.22	Professional		$33.81	$75.29	$90.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $35.40 / $42.17	Facility		$21.89	$35.40	$42.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $34.57 / $37.52	Professional		$33.63	$34.57	$37.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $34.57 / $88.50	Facility		$31.86	$34.57	$88.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $33.69 / $42.17	Facility		$24.24	$33.69	$42.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $33.69 / $40.43	Professional		$27.89	$33.69	$40.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.31 / $95.80 / $138.50	Facility		$50.31	$95.80	$138.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $26.90 / $28.32	Professional		$26.90	$26.90	$28.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $52.19 / $90.54	Professional		$29.12	$52.19	$90.54