Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $52.63 / $133.79	Facility		$7.50	$52.63	$133.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $7.80 / $12.00	Professional		$6.56	$7.80	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $23.00 / $31.39	Facility		$14.20	$23.00	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $9.91 / $15.86	Professional		$6.22	$9.91	$15.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $21.29 / $22.97	Professional		$8.74	$21.29	$22.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $12.13 / $52.08	Facility		$7.63	$12.13	$52.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $10.05 / $17.57	Professional		$8.74	$10.05	$17.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $11.80 / $19.47	Facility		$8.74	$11.80	$19.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $10.58 / $25.35	Facility		$7.63	$10.58	$25.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $10.93 / $14.32	Professional		$8.74	$10.93	$14.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $26.98 / $36.11	Facility		$17.04	$26.98	$36.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $11.14 / $21.33	Professional		$7.82	$11.14	$21.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $5.00 / $10.49	Professional		$3.67	$5.00	$10.49