Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $33.11 / $66.07	Facility		$7.76	$33.11	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.01 / $33.11	Professional		$3.89	$5.01	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $13.18 / $18.20	Facility		$8.13	$13.18	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.01 / $8.71	Professional		$3.24	$5.01	$8.71
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.72 / $12.88	Professional		$5.01	$10.72	$12.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $50.12	Facility		$5.01	$5.01	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $10.00	Professional		$5.01	$6.03	$10.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $10.23	Facility		$5.01	$5.01	$10.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.24 / $16.60	Facility		$4.90	$7.24	$16.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.31 / $79.43	Professional		$5.01	$6.31	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $15.14 / $20.89	Facility		$7.59	$15.14	$20.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.01 / $6.46	Professional		$3.80	$5.01	$6.46
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $7.94	Facility		$6.03	$6.03	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.88 / $7.08	Professional		$2.09	$2.88	$7.08