Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.80 / $40.74	Facility		$11.22	$13.80	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $13.80	Professional		$5.62	$7.94	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $23.44 / $26.30	Facility		$14.79	$23.44	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $8.91 / $15.85	Professional		$4.57	$8.91	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.50 / $22.91	Professional		$8.91	$19.50	$22.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $10.72	Facility		$8.91	$8.91	$10.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.23 / $14.79	Professional		$8.91	$10.23	$14.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $17.38	Facility		$8.91	$8.91	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.59 / $26.30	Facility		$6.76	$12.59	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $79.43	Professional		$8.13	$10.00	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $37.15	Facility		$13.49	$26.92	$37.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $10.72	Professional		$6.76	$8.13	$10.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $14.45	Facility		$10.72	$10.72	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.98 / $10.72	Professional		$3.80	$3.98	$10.72