Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $10.84 / $24.00	Facility		$10.84	$10.84	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $9.96 / $10.84	Professional		$9.96	$9.96	$10.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $21.68 / $21.68	Facility		$21.68	$21.68	$21.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $44.74 / $53.62	Professional		$20.09	$44.74	$53.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $14.24 / $34.90	Facility		$9.96	$14.24	$34.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $20.68 / $48.46	Professional		$20.68	$20.68	$48.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $79,999.20 / $79,999.20	Facility		$6.05	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $21.68 / $44.50	Facility		$12.39	$21.68	$44.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $25.85 / $50.09	Professional		$10.19	$25.85	$50.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $5.88 / $46.02	Facility		$3.03	$5.88	$46.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $6.12	Professional		$6.12	$6.12	$6.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.63	Professional		$10.00	$10.00	$10.63