Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $42.66	Facility		$11.75	$14.45	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $14.45	Professional		$6.03	$7.94	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $24.55 / $27.54	Facility		$15.49	$24.55	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $9.33 / $16.98	Professional		$4.57	$9.33	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $20.42 / $23.99	Professional		$9.33	$20.42	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $10.96	Facility		$9.33	$9.33	$10.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $15.49	Professional		$9.33	$10.96	$15.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $17.78	Facility		$9.33	$9.33	$17.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $13.18 / $27.54	Facility		$8.51	$13.18	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $79.43	Professional		$8.91	$10.47	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.18 / $38.90	Facility		$14.13	$28.18	$38.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $11.22	Professional		$7.08	$8.51	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $15.14	Facility		$11.22	$11.22	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $11.22	Professional		$3.98	$3.98	$11.22