Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $63.10 / $457.09	Facility		$11.48	$63.10	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.92 / $53.70	Professional		$6.31	$6.92	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $22.39 / $30.20	Facility		$13.80	$22.39	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.55 / $16.98	Professional		$5.62	$9.55	$16.98
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $18.20 / $21.38	Professional		$8.51	$18.20	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $38.02 / $131.83	Facility		$8.51	$38.02	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.23 / $16.98	Professional		$6.92	$10.23	$16.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $18.62	Facility		$8.51	$8.51	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.30 / $28.18	Facility		$8.13	$12.30	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.47 / $79.43	Professional		$8.51	$10.47	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $25.12 / $34.67	Facility		$12.59	$25.12	$34.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.51 / $10.72	Professional		$6.31	$8.51	$10.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $13.49	Facility		$10.23	$10.23	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.79 / $11.75	Professional		$3.55	$4.79	$11.75