Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $42.66	Facility		$12.02	$19.95	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $15.14	Professional		$6.03	$8.91	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $33.88	Facility		$15.85	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.55 / $17.78	Professional		$6.17	$9.55	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.89 / $24.55	Professional		$9.55	$20.89	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $19.95	Facility		$9.55	$9.55	$19.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $15.49	Professional		$9.55	$11.48	$15.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $18.20	Facility		$9.55	$9.55	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.80 / $31.62	Facility		$9.33	$13.80	$31.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.02 / $79.43	Professional		$9.33	$12.02	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.84 / $39.81	Facility		$14.45	$28.84	$39.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $12.02	Professional		$7.24	$9.55	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.49	Facility		$11.48	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.37 / $13.18	Professional		$4.07	$5.37	$13.18