Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $9.06 / $29.00	Professional		$4.75	$9.06	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $26.02 / $30.56	Professional		$21.14	$26.02	$30.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $12.49 / $24.97	Facility		$9.22	$12.49	$24.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $11.87 / $13.11	Professional		$9.78	$11.87	$13.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $12.49 / $13.74	Facility		$11.24	$12.49	$13.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Professional		$9.93	$9.93	$9.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $12.49 / $24.97	Facility		$9.22	$12.49	$24.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $10.94 / $13.42	Professional		$5.09	$10.94	$13.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.74 / $13.74	Professional		$13.05	$13.74	$13.74
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.30 / $10.37	Professional		$5.05	$5.30	$10.37