Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $56.05 / $82.65	Facility		$11.22	$56.05	$82.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.21 / $8.66	Professional		$4.34	$5.21	$8.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $15.23 / $20.78	Facility		$9.40	$15.23	$20.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $6.61 / $10.57	Professional		$4.08	$6.61	$10.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $14.20 / $15.31	Professional		$5.78	$14.20	$15.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $10.92 / $57.96	Facility		$4.78	$10.92	$57.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $6.65 / $11.65	Professional		$5.78	$6.65	$11.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $6.94 / $13.33	Facility		$5.78	$6.94	$13.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $7.28 / $16.76	Facility		$4.51	$7.28	$16.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $7.23 / $9.47	Professional		$5.78	$7.23	$9.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $17.85 / $23.88	Facility		$11.27	$17.85	$23.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.37 / $13.95	Professional		$5.21	$7.37	$13.95
United Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $8.67 / $9.25	Facility		$8.67	$8.67	$9.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.31 / $6.94	Professional		$2.43	$3.31	$6.94