Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.45 / $67.61	Facility		$9.77	$14.45	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $12.02	Professional		$5.01	$7.08	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.42 / $27.54	Facility		$12.59	$20.42	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $14.13	Professional		$5.13	$7.76	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $16.60 / $19.50	Professional		$7.76	$16.60	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $14.45	Facility		$7.76	$7.76	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.33 / $12.88	Professional		$7.76	$9.33	$12.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $14.79	Facility		$7.76	$7.76	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $11.22 / $26.30	Facility		$7.59	$11.22	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $79.43	Professional		$7.76	$9.77	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $151.36	Facility		$93.33	$125.89	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.76 / $9.77	Professional		$5.75	$7.76	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $186.21	Facility		$112.20	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.47 / $10.72	Professional		$3.24	$4.47	$10.72