Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.82 / $55.88 / $97.52	Facility		$7.82	$55.88	$97.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.26 / $33.79	Professional		$4.84	$6.26	$33.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $14.18 / $19.32	Facility		$8.75	$14.18	$19.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $6.20 / $9.40	Professional		$3.91	$6.20	$9.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $13.40 / $14.48	Professional		$5.39	$13.40	$14.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $5.75 / $14.82	Facility		$4.82	$5.75	$14.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $6.20 / $12.60	Professional		$5.39	$6.20	$12.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $7.28 / $12.30	Facility		$5.39	$7.28	$12.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $6.52 / $15.63	Facility		$4.88	$6.52	$15.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $6.47 / $8.81	Professional		$5.39	$6.47	$8.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.90 / $177.46 / $242.25	Facility		$98.90	$177.46	$242.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.85 / $13.13	Professional		$4.90	$6.85	$13.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.08 / $6.47	Professional		$2.25	$3.08	$6.47