Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $48.98 / $112.20	Facility		$14.13	$48.98	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $40.74	Professional		$7.08	$8.71	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $34.67	Facility		$15.85	$25.70	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.77 / $17.78	Professional		$6.31	$9.77	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.89 / $24.55	Professional		$9.77	$20.89	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $23.99 / $97.72	Facility		$9.77	$23.99	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $20.42	Professional		$8.32	$11.75	$20.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $18.20	Facility		$9.77	$9.77	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.13 / $32.36	Facility		$9.33	$14.13	$32.36
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 $14.45 / $28.84 / $39.81	Facility		$14.45	$28.84	$39.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.77 / $12.30	Professional		$7.24	$9.77	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $15.49	Facility		$11.75	$11.75	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.50 / $11.75	Professional		$4.07	$5.50	$11.75