Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.79 / $35.48	Facility		$10.00	$14.79	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $12.30	Professional		$5.01	$7.08	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $20.89 / $28.84	Facility		$12.88	$20.89	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $14.13	Professional		$5.25	$7.94	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.38 / $20.42	Professional		$7.94	$17.38	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $12.30	Facility		$7.94	$7.94	$12.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $13.18	Professional		$7.94	$10.00	$13.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $15.14	Facility		$7.94	$7.94	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.48 / $26.30	Facility		$7.76	$11.48	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $79.43	Professional		$7.94	$10.00	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $33.11	Facility		$12.02	$23.99	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $10.23	Professional		$6.03	$7.94	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $12.88	Facility		$9.55	$9.55	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.57 / $9.55	Professional		$3.39	$4.57	$9.55