Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.59 / $21.00	Professional		$5.37	$6.59	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $16.57 / $19.45	Professional		$13.46	$16.57	$19.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $8.42 / $29.47	Facility		$6.21	$8.42	$29.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $8.00 / $8.84	Professional		$6.59	$8.00	$8.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $8.42 / $9.26	Facility		$7.58	$8.42	$9.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $8.42 / $29.12	Facility		$6.21	$8.42	$29.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $7.37 / $9.03	Professional		$3.44	$7.37	$9.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $9.26 / $9.26	Professional		$8.80	$9.26	$9.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $3.57 / $6.81	Professional		$3.41	$3.57	$6.81