Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $48.08 / $109.82	Facility		$8.31	$48.08	$109.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.17 / $18.57	Professional		$4.51	$5.17	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $13.65 / $18.59	Facility		$8.43	$13.65	$18.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.78 / $9.40	Professional		$3.73	$5.78	$9.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $12.61 / $13.62	Professional		$5.18	$12.61	$13.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $7.18 / $22.92	Facility		$4.69	$7.18	$22.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.96 / $8.52	Professional		$5.18	$5.96	$8.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $6.99 / $11.43	Facility		$5.18	$6.99	$11.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $6.51 / $15.02	Facility		$4.69	$6.51	$15.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.48 / $8.47	Professional		$5.18	$6.48	$8.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $15.98 / $21.40	Facility		$10.10	$15.98	$21.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.60 / $13.13	Professional		$4.63	$6.60	$13.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.25 / $6.22	Professional		$3.11	$3.25	$6.22