Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $11.15 / $13.47	Facility		$7.74	$11.15	$13.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $7.74 / $17.19	Professional		$6.14	$7.74	$17.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $12.27 / $16.70	Facility		$5.79	$12.27	$16.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $6.66	Professional		$6.14	$6.14	$6.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $17.04 / $22.97	Professional		$6.14	$17.04	$22.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $8.77 / $17.35	Facility		$6.14	$8.77	$17.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.51 / $7.98	Professional		$6.14	$6.51	$7.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $7.98 / $16.07	Facility		$6.14	$7.98	$16.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $12.27 / $17.98	Facility		$6.14	$12.27	$17.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $7.24 / $10.84	Professional		$6.05	$7.24	$10.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $6.14	Professional		$6.14	$6.14	$6.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $6.14	Professional		$6.14	$6.14	$6.14