Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $23.91 / $82.00	Professional		$15.93	$23.91	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $68.63 / $80.59	Professional		$55.76	$68.63	$80.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $33.18 / $71.28	Facility		$24.49	$33.18	$71.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $31.52 / $34.84	Professional		$25.96	$31.52	$34.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $33.18 / $36.50	Facility		$29.86	$33.18	$36.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $33.18 / $71.26	Facility		$24.49	$33.18	$71.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $29.05 / $35.64	Professional		$13.54	$29.05	$35.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $36.50 / $36.50	Professional		$34.68	$36.50	$36.50
United Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.06 / $26.84	Professional		$13.45	$14.06	$26.84