Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $26.66 / $104.17	Professional		$14.26	$26.66	$104.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $74.94 / $87.99	Professional		$60.89	$74.94	$87.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $36.10 / $73.87	Facility		$26.66	$36.10	$73.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $34.29 / $37.90	Professional		$28.26	$34.29	$37.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $36.10 / $39.71	Facility		$32.49	$36.10	$39.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $28.67 / $28.67	Professional		$28.67	$28.67	$28.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $36.10 / $72.16	Facility		$26.66	$36.10	$72.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $31.61 / $38.78	Professional		$14.73	$31.61	$38.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $39.71 / $39.71	Professional		$37.72	$39.71	$39.71
United Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $15.31 / $29.21	Professional		$14.62	$15.31	$29.21