Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $19.95 / $63.10	Facility		$5.75	$19.95	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.07 / $28.18	Professional		$3.02	$4.07	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $11.75 / $16.22	Facility		$7.24	$11.75	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.47 / $8.13	Professional		$2.95	$4.47	$8.13
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $9.33 / $11.22	Professional		$4.47	$9.33	$11.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $30.20	Facility		$4.47	$4.47	$30.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.37 / $7.59	Professional		$4.47	$5.37	$7.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $10.00	Facility		$4.47	$4.47	$10.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $6.46 / $14.79	Facility		$4.37	$6.46	$14.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $79.43	Professional		$4.47	$5.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.49 / $18.62	Facility		$6.76	$13.49	$18.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.47 / $5.75	Professional		$3.39	$4.47	$5.75
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $7.24	Facility		$5.37	$5.37	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.57 / $6.31	Professional		$1.86	$2.57	$6.31