Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $20.14 / $50.76	Facility		$6.81	$20.14	$50.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.41 / $32.28	Professional		$5.01	$11.41	$32.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $13.20 / $18.03	Facility		$8.15	$13.20	$18.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.78 / $8.81	Professional		$3.55	$5.78	$8.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.61 / $13.62	Professional		$5.01	$12.61	$13.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $5.01 / $15.25	Facility		$2.66	$5.01	$15.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.52 / $7.10	Professional		$5.01	$5.52	$7.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.52 / $11.08	Facility		$5.01	$5.52	$11.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $6.02 / $14.56	Facility		$2.66	$6.02	$14.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.02 / $8.21	Professional		$5.01	$6.02	$8.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $15.48 / $20.74	Facility		$9.78	$15.48	$20.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.39 / $12.31	Professional		$4.57	$6.39	$12.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.09 / $8.52	Professional		$3.01	$4.09	$8.52