Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.20 / $43.65	Facility		$12.02	$18.20	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $14.13	Professional		$6.03	$8.71	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.12 / $34.67	Facility		$15.49	$25.12	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.55 / $16.98	Professional		$6.31	$9.55	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.89 / $24.55	Professional		$9.55	$20.89	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $13.49	Facility		$9.55	$9.55	$13.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $15.85	Professional		$9.55	$12.02	$15.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $18.20	Facility		$9.55	$9.55	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.80 / $32.36	Facility		$9.33	$13.80	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $79.43	Professional		$9.55	$12.02	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.84 / $39.81	Facility		$14.45	$28.84	$39.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $12.30	Professional		$7.24	$9.55	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.49	Facility		$11.48	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.50 / $13.49	Professional		$4.07	$5.50	$13.49