Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $24.42 / $97.16	Professional		$12.26	$24.42	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $70.20 / $82.43	Professional		$57.05	$70.20	$82.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $33.68 / $67.31	Facility		$24.86	$33.68	$67.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $32.00 / $35.36	Professional		$25.77	$32.00	$35.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $33.68 / $37.04	Facility		$30.31	$33.68	$37.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $26.75 / $26.75	Professional		$26.75	$26.75	$26.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $33.68 / $67.31	Facility		$24.86	$33.68	$67.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $29.49 / $36.18	Professional		$13.74	$29.49	$36.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $37.04 / $37.04	Professional		$35.20	$37.04	$37.04
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.28 / $27.25	Professional		$13.64	$14.28	$27.25