Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $35.39 / $43.97	Professional		$17.89	$35.39	$43.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $91.85 / $109.78	Professional		$43.34	$91.85	$109.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $43.32 / $65.44	Facility		$24.62	$43.32	$65.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $41.17 / $45.51	Professional		$32.57	$41.17	$45.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $43.34 / $44.82	Facility		$42.32	$43.34	$44.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $43.32 / $74.98	Facility		$24.62	$43.32	$74.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $39.59 / $103.00	Professional		$20.80	$39.59	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $21.62 / $41.25	Professional		$20.36	$21.62	$41.25