Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.78 / $194.98	Facility		$11.75	$17.78	$194.98
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 / $25.12 / $30.20	Facility		$15.49	$25.12	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.55 / $16.98	Professional		$5.62	$9.55	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.42 / $23.99	Professional		$9.55	$20.42	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $13.18	Facility		$9.55	$9.55	$13.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $16.98	Professional		$9.55	$11.48	$16.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $19.50	Facility		$9.55	$9.55	$19.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.18 / $28.18	Facility		$8.32	$13.18	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $79.43	Professional		$8.51	$11.48	$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 / $8.71 / $11.48	Professional		$7.08	$8.71	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.14	Facility		$11.48	$11.48	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.79 / $11.75	Professional		$3.98	$4.79	$11.75