Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $15.96 / $1,649.40	Facility		$9.17	$15.96	$1,649.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $11.02 / $2,400.00	Professional		$8.75	$11.02	$2,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $12.06 / $18.07	Facility		$8.26	$12.06	$18.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $9.50	Professional		$8.75	$8.75	$9.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $19.89 / $23.04	Professional		$8.75	$19.89	$23.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $11.63 / $18.80	Facility		$8.75	$11.63	$18.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $9.27 / $11.38	Professional		$8.75	$9.27	$11.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $10.94 / $19.03	Facility		$8.75	$10.94	$19.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $12.06 / $18.80	Facility		$8.75	$12.06	$18.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $9.50 / $10.79	Professional		$8.59	$9.50	$10.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $13.32 / $30.13	Facility		$8.52	$13.32	$30.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $10.06	Professional		$8.75	$8.75	$10.06