Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $28.34 / $215.81	Facility		$11.68	$28.34	$215.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.68 / $87.95	Professional		$11.36	$11.68	$87.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $21.09 / $25.72	Facility		$10.72	$21.09	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $12.32	Professional		$11.36	$11.36	$12.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $25.56 / $39.14	Professional		$11.36	$25.56	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $16.23 / $46.20	Facility		$11.36	$16.23	$46.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.04 / $15.79	Professional		$11.36	$12.04	$15.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $14.20 / $34.08	Facility		$11.36	$14.20	$34.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $25.72 / $44.10	Facility		$11.36	$25.72	$44.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $18.63 / $46.27	Professional		$12.32	$18.63	$46.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36