Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $9.51 / $14.09	Facility		$6.61	$9.51	$14.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.21 / $18.14	Professional		$3.75	$5.21	$18.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $108.00 / $120.00	Facility		$75.00	$108.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $15.74 / $99.01	Professional		$6.66	$15.74	$99.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $14.78 / $16.70	Professional		$12.64	$14.78	$16.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $7.63 / $14.45	Facility		$4.73	$7.63	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $10.68 / $16.12	Professional		$7.44	$10.68	$16.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $11.39 / $12.73	Facility		$7.84	$11.39	$12.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $90.00 / $120.00	Facility		$16.30	$90.00	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $12.16 / $67.08	Professional		$7.06	$12.16	$67.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $17.07 / $24.81	Facility		$11.05	$17.07	$24.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.73 / $16.87	Professional		$7.28	$7.73	$16.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $6.50 / $15.02	Professional		$5.79	$6.50	$15.02