Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $45.71	Professional		$25.12	$37.15	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $102.33	Professional		$75.86	$83.18	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $64.57	Facility		$26.92	$39.81	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $40.74	Professional		$25.70	$37.15	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $69.18 / $74.13	Facility		$52.48	$69.18	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $64.57	Facility		$26.92	$38.90	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $100.00	Professional		$32.36	$32.36	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $100.00	Professional		$45.71	$66.07	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $102.33	Professional		$40.74	$64.57	$102.33