Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.88 / $2,398.83	Facility		$6.46	$12.88	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $660.69 / $3,019.95	Professional		$6.46	$660.69	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $9.12 / $12.59	Facility		$6.17	$9.12	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $7.08	Professional		$6.31	$6.31	$7.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $13.80 / $16.22	Professional		$6.31	$13.80	$16.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.92 / $8.51	Facility		$6.46	$6.92	$8.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $1,513.56	Professional		$6.46	$7.76	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $8.13 / $13.49	Facility		$6.46	$8.13	$13.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $9.12 / $19.05	Facility		$6.46	$9.12	$19.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.08 / $79.43	Professional		$6.31	$7.08	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $10.23 / $20.89	Facility		$6.17	$10.23	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $15.49	Facility		$6.46	$6.46	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46