Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $8.40 / $27.00	Professional		$6.58	$8.40	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Professional		$4.63	$4.63	$4.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $23.67 / $27.78	Professional		$19.23	$23.67	$27.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $11.37 / $29.47	Facility		$8.40	$11.37	$29.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $10.80 / $11.94	Professional		$8.90	$10.80	$11.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11.37 / $12.51	Facility		$10.23	$11.37	$12.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $11.37 / $29.12	Facility		$8.40	$11.37	$29.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $9.94 / $12.21	Professional		$4.63	$9.94	$12.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.51 / $12.51	Professional		$11.88	$12.51	$12.51
United Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.82 / $9.19	Professional		$4.61	$4.82	$9.19