Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $63.75 / $154.07	Facility		$11.85	$63.75	$154.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.14 / $9.46	Professional		$5.77	$6.14	$9.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $18.14 / $24.75	Facility		$11.20	$18.14	$24.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $7.85 / $12.34	Professional		$4.97	$7.85	$12.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $16.57 / $17.87	Professional		$6.89	$16.57	$17.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $25.20 / $100.89	Facility		$6.68	$25.20	$100.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $7.92 / $13.85	Professional		$6.89	$7.92	$13.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $8.27 / $17.43	Facility		$6.89	$8.27	$17.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $8.66 / $19.98	Facility		$6.00	$8.66	$19.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $8.27 / $11.28	Professional		$6.89	$8.27	$11.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $21.28 / $28.47	Facility		$13.44	$21.28	$28.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $8.77 / $17.23	Professional		$6.08	$8.77	$17.23
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.90 / $8.27	Professional		$2.89	$3.90	$8.27