Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.48 / $22.91	Facility		$10.96	$11.48	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.13	Professional		$10.96	$10.96	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.99 / $28.18	Professional		$10.96	$23.99	$28.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $13.80	Facility		$10.96	$10.96	$13.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.96 / $13.80	Professional		$8.32	$10.96	$13.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.75 / $20.89	Facility		$10.96	$11.75	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.85 / $32.36	Facility		$10.72	$15.85	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.44 / $79.43	Professional		$10.96	$23.44	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.20 / $52.48	Facility		$19.05	$30.20	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.75 / $12.02	Professional		$11.48	$11.75	$12.02