Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $81.64 / $209.88	Facility		$9.63	$81.64	$209.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $6.36 / $34.44	Professional		$4.92	$6.36	$34.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $14.74 / $19.76	Facility		$9.10	$14.74	$19.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $6.20 / $9.99	Professional		$3.91	$6.20	$9.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $13.40 / $14.48	Professional		$5.60	$13.40	$14.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $6.93 / $18.26	Facility		$4.99	$6.93	$18.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $6.44 / $9.06	Professional		$5.60	$6.44	$9.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $7.48 / $12.36	Facility		$5.60	$7.48	$12.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $6.93 / $16.23	Facility		$4.99	$6.93	$16.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $6.72 / $9.01	Professional		$5.60	$6.72	$9.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $17.04 / $23.14	Facility		$10.92	$17.04	$23.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $7.02 / $13.95	Professional		$4.93	$7.02	$13.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.15 / $6.72	Professional		$2.35	$3.15	$6.72