Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $41.69 / $85.11	Facility		$13.80	$41.69	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $13.18	Professional		$6.03	$7.94	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.44 / $31.62	Facility		$14.45	$23.44	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.91 / $15.85	Professional		$5.89	$8.91	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.50 / $22.91	Professional		$8.91	$19.50	$22.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $74.13	Facility		$8.91	$8.91	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $17.78	Professional		$8.91	$11.22	$17.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $17.38	Facility		$8.91	$8.91	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.88 / $30.20	Facility		$8.71	$12.88	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $79.43	Professional		$8.91	$11.22	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $37.15	Facility		$13.49	$26.92	$37.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.91 / $11.22	Professional		$6.61	$8.91	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $14.13	Facility		$10.72	$10.72	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.13 / $12.30	Professional		$3.72	$5.13	$12.30