Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.22 / $77.62	Facility		$7.08	$16.22	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.31 / $12.88	Professional		$4.47	$6.31	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $18.62 / $25.12	Facility		$11.48	$18.62	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.08 / $12.30	Professional		$4.57	$7.08	$12.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $15.14 / $17.78	Professional		$7.08	$15.14	$17.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $17.38	Facility		$7.08	$7.08	$17.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $14.13	Professional		$7.08	$8.71	$14.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $15.49	Facility		$7.08	$7.08	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.00 / $22.91	Facility		$6.76	$10.00	$22.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $79.43	Professional		$7.08	$8.71	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $20.89 / $28.84	Facility		$10.47	$20.89	$28.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.08 / $8.91	Professional		$5.25	$7.08	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $11.22	Facility		$8.32	$8.32	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.98 / $9.77	Professional		$2.95	$3.98	$9.77