Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $32.36 / $46.77	Facility		$17.78	$32.36	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $26.30	Professional		$16.98	$17.78	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.51 / $41.69	Facility		$16.60	$29.51	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $19.05	Professional		$17.78	$17.78	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $41.69 / $50.12	Professional		$17.78	$41.69	$50.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $18.62 / $21.88	Facility		$4.47	$18.62	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $18.62 / $21.88	Professional		$4.47	$18.62	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.99 / $39.81	Facility		$19.50	$23.99	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.18 / $61.66	Facility		$17.78	$28.18	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $79.43	Professional		$14.13	$19.05	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $20.42	Professional		$17.78	$17.78	$20.42