Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $68.59 / $200.24	Facility		$13.83	$68.59	$200.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.69 / $11.83	Professional		$6.72	$7.69	$11.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $22.68 / $30.93	Facility		$14.00	$22.68	$30.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $9.91 / $15.27	Professional		$6.22	$9.91	$15.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $21.29 / $22.97	Professional		$8.61	$21.29	$22.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $17.97 / $110.20	Facility		$7.51	$17.97	$110.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.34 / $14.18	Professional		$8.61	$10.34	$14.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $11.64 / $19.03	Facility		$8.61	$11.64	$19.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $10.83 / $25.00	Facility		$7.51	$10.83	$25.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.34 / $14.10	Professional		$8.61	$10.34	$14.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $26.60 / $35.61	Facility		$16.80	$26.60	$35.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $10.98 / $21.33	Professional		$7.82	$10.98	$21.33
United Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $5.41 / $8.61	Facility		$5.41	$5.41	$8.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.92 / $10.34	Professional		$3.62	$4.92	$10.34