Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $24.55 / $74.13	Facility		$12.02	$24.55	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $14.79	Professional		$7.08	$8.71	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $34.67	Facility		$15.85	$25.70	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.77 / $17.78	Professional		$6.31	$9.77	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.89 / $24.55	Professional		$9.77	$20.89	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $32.36	Facility		$9.77	$9.77	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $19.50	Professional		$9.77	$12.02	$19.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $21.38	Facility		$9.77	$9.77	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.13 / $32.36	Facility		$9.33	$14.13	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $79.43	Professional		$9.77	$12.02	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.84 / $39.81	Facility		$14.45	$28.84	$39.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.77 / $12.30	Professional		$7.24	$9.77	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $15.49	Facility		$11.75	$11.75	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.50 / $13.49	Professional		$4.07	$5.50	$13.49