Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.72 / $30.90	Facility		$8.51	$10.72	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $10.72	Professional		$3.98	$6.03	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $18.20 / $23.44	Facility		$11.22	$18.20	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.92 / $12.30	Professional		$4.27	$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 / $8.32 / $10.96	Professional		$6.92	$8.32	$10.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $13.18	Facility		$6.92	$6.92	$13.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $10.00 / $21.38	Facility		$6.61	$10.00	$21.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.32 / $79.43	Professional		$6.46	$8.32	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $20.42 / $28.18	Facility		$10.23	$20.42	$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 / $3.72 / $9.12	Professional		$2.88	$3.72	$9.12