Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.60 / $47.86	Facility		$13.49	$16.60	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.91 / $16.60	Professional		$6.76	$8.91	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.18 / $30.90	Facility		$17.38	$28.18	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $10.72 / $19.50	Professional		$5.37	$10.72	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.91 / $27.54	Professional		$10.72	$22.91	$27.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $12.88	Facility		$10.72	$10.72	$12.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $17.78	Professional		$10.72	$12.02	$17.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $20.42	Facility		$10.72	$10.72	$20.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.79 / $31.62	Facility		$9.77	$14.79	$31.62
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 $16.22 / $32.36 / $44.67	Facility		$16.22	$32.36	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $12.88	Professional		$8.13	$9.77	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $17.38	Facility		$12.88	$12.88	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.68 / $12.88	Professional		$4.47	$4.68	$12.88