Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.85 / $46.77	Facility		$12.88	$15.85	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $15.85	Professional		$6.03	$8.91	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $27.54 / $30.20	Facility		$16.98	$27.54	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.47 / $18.62	Professional		$5.25	$10.47	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $22.39 / $26.30	Professional		$10.47	$22.39	$26.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $14.45	Facility		$10.47	$10.47	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.02 / $16.22	Professional		$10.47	$12.02	$16.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $20.42	Facility		$10.47	$10.47	$20.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.45 / $30.90	Facility		$9.33	$14.45	$30.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $79.43	Professional		$9.33	$11.48	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.90 / $42.66	Facility		$15.49	$30.90	$42.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.33 / $12.59	Professional		$7.76	$9.33	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $16.60	Facility		$12.59	$12.59	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.57 / $12.59	Professional		$4.37	$4.57	$12.59