Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.42 / $56.00	Professional		$12.88	$17.42	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $9.51	Professional		$9.51	$9.51	$9.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $48.13 / $56.49	Professional		$39.10	$48.13	$56.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $23.32 / $57.60	Facility		$17.20	$23.32	$57.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $22.15 / $24.49	Professional		$18.25	$22.15	$24.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $23.32 / $25.65	Facility		$20.99	$23.32	$25.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $23.32 / $57.56	Facility		$17.20	$23.32	$57.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $20.41 / $24.93	Professional		$9.51	$20.41	$24.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $25.65 / $25.65	Professional		$24.37	$25.65	$25.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.88 / $18.86	Professional		$9.44	$9.88	$18.86