Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $14.22 / $27.47	Facility		$11.77	$14.22	$27.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $9.52 / $49.72	Professional		$8.14	$9.52	$49.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $25.84 / $32.88	Facility		$15.95	$25.84	$32.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $11.15 / $17.62	Professional		$6.57	$11.15	$17.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $23.67 / $25.52	Professional		$9.81	$23.67	$25.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $11.52 / $30.71	Facility		$8.96	$11.52	$30.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $11.77 / $17.85	Professional		$9.81	$11.77	$17.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $11.77 / $21.66	Facility		$9.81	$11.77	$21.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $11.87 / $28.45	Facility		$9.81	$11.87	$28.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $11.77 / $14.99	Professional		$9.81	$11.77	$14.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $29.85 / $40.53	Facility		$19.13	$29.85	$40.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $11.68 / $23.79	Professional		$8.69	$11.68	$23.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $5.24 / $11.77	Professional		$4.12	$5.24	$11.77