Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $16.68 / $26.58	Facility		$13.34	$16.68	$26.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.48 / $31.26	Professional		$13.29	$13.48	$31.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $18.39 / $26.00	Facility		$12.54	$18.39	$26.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $14.42	Professional		$13.29	$13.29	$14.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $29.13 / $34.04	Professional		$13.08	$29.13	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $16.76 / $28.57	Facility		$13.29	$16.76	$28.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $14.09 / $16.61	Professional		$13.29	$14.09	$16.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $16.61 / $27.69	Facility		$13.29	$16.61	$27.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $18.39 / $26.08	Facility		$13.25	$18.39	$26.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.42 / $16.30	Professional		$12.77	$14.42	$16.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $20.54 / $46.46	Facility		$12.17	$20.54	$46.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $15.28	Professional		$13.29	$13.29	$15.28