Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $48.00 / $113.37	Facility		$13.96	$48.00	$113.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.96 / $9.72	Professional		$5.03	$5.96	$9.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $17.66 / $24.06	Facility		$10.90	$17.66	$24.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $7.85 / $11.75	Professional		$4.80	$7.85	$11.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $16.57 / $17.87	Professional		$6.70	$16.57	$17.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $13.98 / $100.80	Facility		$6.50	$13.98	$100.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $7.71 / $13.48	Professional		$6.70	$7.71	$13.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $9.05 / $14.79	Facility		$6.70	$9.05	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $8.42 / $19.43	Facility		$5.85	$8.42	$19.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $8.03 / $10.97	Professional		$6.70	$8.03	$10.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $20.68 / $27.68	Facility		$13.07	$20.68	$27.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $8.53 / $16.41	Professional		$6.08	$8.53	$16.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.83 / $9.47	Professional		$2.81	$3.83	$9.47