Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $25.69 / $92.21	Facility		$10.79	$25.69	$92.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.69 / $17.20	Professional		$3.92	$4.69	$17.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $13.65 / $18.59	Facility		$8.43	$13.65	$18.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.78 / $9.40	Professional		$3.73	$5.78	$9.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $12.61 / $13.62	Professional		$5.18	$12.61	$13.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $6.51 / $20.00	Facility		$4.69	$6.51	$20.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.96 / $10.41	Professional		$5.18	$5.96	$10.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $6.99 / $11.43	Facility		$5.18	$6.99	$11.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $6.50 / $15.02	Facility		$4.69	$6.50	$15.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.48 / $8.47	Professional		$5.18	$6.48	$8.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $15.98 / $21.40	Facility		$10.10	$15.98	$21.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.60 / $13.13	Professional		$4.63	$6.60	$13.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.96 / $6.22	Professional		$2.18	$2.96	$6.22