Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $52.48	Facility		$14.45	$17.78	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.96 / $18.20	Professional		$6.17	$10.96	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.90 / $41.69	Facility		$19.05	$30.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.75 / $21.38	Professional		$7.76	$11.75	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $25.12 / $30.20	Professional		$11.75	$25.12	$30.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $16.22	Facility		$11.75	$11.75	$16.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $23.44	Professional		$11.75	$15.85	$23.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $26.30	Facility		$11.75	$11.75	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $38.02	Facility		$11.22	$16.60	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.45 / $79.43	Professional		$11.75	$14.45	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $34.67 / $47.86	Facility		$17.38	$34.67	$47.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.75 / $14.79	Professional		$8.71	$11.75	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $18.62	Facility		$13.80	$13.80	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.61 / $16.22	Professional		$4.90	$6.61	$16.22