Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.72 / $30.90	Facility		$8.71	$10.72	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $10.72	Professional		$5.01	$6.17	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $18.20 / $24.55	Facility		$11.22	$18.20	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.92 / $12.30	Professional		$4.57	$6.92	$12.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $15.14 / $17.78	Professional		$6.92	$15.14	$17.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $9.55	Facility		$6.92	$6.92	$9.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $12.88	Professional		$6.92	$8.71	$12.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $15.14	Facility		$6.92	$6.92	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $10.00 / $22.39	Facility		$6.31	$10.00	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.32 / $79.43	Professional		$6.92	$8.32	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $20.89 / $28.18	Facility		$10.23	$20.89	$28.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.61 / $8.32	Professional		$5.13	$6.61	$8.32
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $10.96	Facility		$8.32	$8.32	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.98 / $9.55	Professional		$2.88	$3.98	$9.55