Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $25.12 / $77.62	Facility		$9.77	$25.12	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.94 / $50.12	Professional		$6.76	$7.94	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $20.89 / $28.18	Facility		$12.88	$20.89	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $14.13	Professional		$5.25	$7.94	$14.13
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.38 / $20.42	Professional		$7.94	$17.38	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $26.30	Facility		$7.94	$7.94	$26.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $15.85	Professional		$7.94	$9.77	$15.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $17.38	Facility		$7.94	$7.94	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $11.22 / $23.99	Facility		$7.59	$11.22	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $79.43	Professional		$7.94	$9.77	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $23.44 / $32.36	Facility		$11.75	$23.44	$32.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.94 / $10.00	Professional		$5.89	$7.94	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $12.59	Facility		$9.33	$9.33	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.47 / $10.96	Professional		$3.31	$4.47	$10.96