Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $56.43 / $127.46	Facility		$12.48	$56.43	$127.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.01 / $23.84	Professional		$5.00	$8.01	$23.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $22.68 / $25.03	Facility		$14.00	$22.68	$25.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $9.11 / $15.27	Professional		$4.62	$9.11	$15.27
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $7.31 / $7.31	Professional		$7.31	$7.31	$7.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $21.29 / $22.97	Professional		$8.61	$21.29	$22.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $11.94 / $131.36	Facility		$6.19	$11.94	$131.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $9.47 / $12.40	Professional		$8.61	$9.47	$12.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $9.03 / $19.01	Facility		$7.20	$9.03	$19.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $10.33 / $22.72	Facility		$6.27	$10.33	$22.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $9.47 / $12.31	Professional		$8.18	$9.47	$12.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $26.20 / $35.57	Facility		$16.79	$26.20	$35.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.06 / $21.33	Professional		$6.46	$8.06	$21.33
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.17 / $8.84	Professional		$5.17	$5.17	$8.84