Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $43.65 / $181.97	Facility		$10.00	$43.65	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $54.95	Professional		$6.03	$7.59	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $22.39 / $30.20	Facility		$13.80	$22.39	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.32 / $15.14	Professional		$5.62	$8.32	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $18.20 / $21.38	Professional		$8.32	$18.20	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $114.82	Facility		$8.32	$8.32	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $16.98	Professional		$8.32	$10.47	$16.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $18.62	Facility		$8.32	$8.32	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.02 / $28.18	Facility		$8.13	$12.02	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $79.43	Professional		$8.32	$10.47	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $25.12 / $34.67	Facility		$12.59	$25.12	$34.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.32 / $10.72	Professional		$6.31	$8.32	$10.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $13.49	Facility		$10.00	$10.00	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.79 / $11.75	Professional		$3.55	$4.79	$11.75