Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $66.07 / $190.55	Facility		$9.77	$66.07	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $17.38	Professional		$6.03	$7.24	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $21.38 / $28.84	Facility		$13.18	$21.38	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $9.55 / $16.22	Professional		$5.37	$9.55	$16.22
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.38 / $20.42	Professional		$8.13	$17.38	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $27.54 / $123.03	Facility		$8.13	$27.54	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $14.45	Professional		$7.08	$9.77	$14.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $15.14	Facility		$8.13	$8.13	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.75 / $27.54	Facility		$7.76	$11.75	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $79.43	Professional		$8.13	$10.00	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $33.11	Facility		$12.02	$23.99	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $10.23	Professional		$6.03	$8.13	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $12.88	Facility		$9.77	$9.77	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.57 / $11.22	Professional		$3.39	$4.57	$11.22