Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $93.33 / $269.15	Facility		$13.80	$93.33	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $17.38	Professional		$7.08	$8.51	$17.38
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 / $9.55 / $16.98	Professional		$6.17	$9.55	$16.98
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.42 / $23.99	Professional		$9.55	$20.42	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.18 / $177.83	Facility		$9.55	$13.18	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $17.78	Professional		$8.91	$11.75	$17.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $17.78	Facility		$9.55	$9.55	$17.78
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 $9.55 / $11.75 / $79.43	Professional		$9.55	$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 / $9.55 / $12.02	Professional		$7.08	$9.55	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.14	Facility		$11.48	$11.48	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.37 / $13.18	Professional		$3.98	$5.37	$13.18