Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.30 / $120.23	Facility		$13.80	$26.30	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.91 / $16.98	Professional		$6.92	$8.91	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.84 / $31.62	Facility		$17.78	$28.84	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.96 / $19.95	Professional		$5.62	$10.96	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.99 / $28.18	Professional		$10.96	$23.99	$28.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $22.91	Facility		$10.96	$10.96	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $18.20	Professional		$10.96	$12.59	$18.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $21.38	Facility		$10.96	$10.96	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $32.36	Facility		$10.00	$15.14	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $79.43	Professional		$10.00	$12.30	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.11 / $45.71	Facility		$16.60	$33.11	$45.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $13.18	Professional		$8.32	$10.00	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $17.78	Facility		$13.18	$13.18	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.79 / $13.18	Professional		$4.57	$4.79	$13.18