Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $41.69 / $162.18	Facility		$9.77	$41.69	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.03 / $13.49	Professional		$5.13	$6.03	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $17.38 / $23.99	Facility		$10.72	$17.38	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.61 / $11.75	Professional		$4.47	$6.61	$11.75
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $14.45 / $16.98	Professional		$6.61	$14.45	$16.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $13.80 / $128.82	Facility		$6.61	$13.80	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $12.02	Professional		$6.61	$8.32	$12.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $12.59	Facility		$6.61	$6.61	$12.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $9.55 / $21.38	Facility		$6.46	$9.55	$21.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $79.43	Professional		$6.61	$8.32	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.95 / $27.54	Facility		$10.00	$19.95	$27.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.61 / $8.51	Professional		$5.01	$6.61	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $10.72	Facility		$7.94	$7.94	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.80 / $7.94	Professional		$2.75	$3.80	$7.94