Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.23 / $24.55	Facility		$6.92	$10.23	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.01 / $8.51	Professional		$3.47	$5.01	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.45 / $19.95	Facility		$8.91	$14.45	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.50 / $10.00	Professional		$3.63	$5.50	$10.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.48 / $13.80	Professional		$5.50	$11.48	$13.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $7.59	Facility		$5.50	$5.50	$7.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.61 / $9.77	Professional		$5.50	$6.61	$9.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $10.47	Facility		$5.50	$5.50	$10.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.59 / $18.20	Facility		$5.01	$7.59	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.61 / $79.43	Professional		$5.50	$6.61	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.60 / $22.91	Facility		$8.32	$16.60	$22.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.01 / $6.61	Professional		$4.17	$5.01	$6.61
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $8.71	Facility		$6.61	$6.61	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.16 / $7.94	Professional		$2.29	$3.16	$7.94