Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $323.00 / $472.60	Facility		$11.67	$323.00	$472.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $6.62 / $26.24	Professional		$4.93	$6.62	$26.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $22.91 / $27.58	Professional		$15.92	$22.91	$27.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $12.48 / $15.40	Professional		$10.18	$12.48	$15.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $11.84 / $31.53	Facility		$5.18	$11.84	$31.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.54 / $25.52	Professional		$7.59	$10.54	$25.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $9.82 / $30.13	Facility		$6.84	$9.82	$30.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $12.05 / $30.20	Facility		$5.31	$12.05	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $10.90 / $14.72	Professional		$7.50	$10.90	$14.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $10.69 / $15.02	Professional		$6.18	$10.69	$15.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.79 / $17.02	Professional		$7.41	$10.79	$17.02