Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.14 / $44.67	Facility		$12.30	$15.14	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $15.14	Professional		$6.03	$8.91	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.30 / $28.84	Facility		$16.22	$26.30	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.00 / $17.78	Professional		$5.13	$10.00	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $25.70	Professional		$10.00	$21.88	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $12.02	Facility		$10.00	$10.00	$12.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $15.14	Professional		$10.00	$11.48	$15.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $18.62	Facility		$10.00	$10.00	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $13.80 / $29.51	Facility		$7.41	$13.80	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $79.43	Professional		$8.91	$10.96	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $29.51 / $40.74	Facility		$14.79	$29.51	$40.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $12.02	Professional		$7.41	$9.12	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $15.85	Facility		$12.02	$12.02	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.37 / $12.02	Professional		$4.17	$4.37	$12.02