Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $45.71 / $95.50	Facility		$13.80	$45.71	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.51 / $20.89	Professional		$7.41	$8.51	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.12 / $33.88	Facility		$15.49	$25.12	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.33 / $16.98	Professional		$6.17	$9.33	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $20.42 / $23.99	Professional		$9.33	$20.42	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $89.13	Facility		$9.33	$9.33	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $19.05	Professional		$9.33	$11.75	$19.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $20.89	Facility		$9.33	$9.33	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $13.49 / $31.62	Facility		$9.12	$13.49	$31.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $79.43	Professional		$9.33	$11.75	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.18 / $38.90	Facility		$14.13	$28.18	$38.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $12.02	Professional		$7.08	$9.33	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $15.14	Facility		$11.22	$11.22	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.37 / $13.18	Professional		$3.98	$5.37	$13.18