Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $30.32	Facility		$12.89	$12.89	$30.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $12.89	Professional		$12.58	$12.58	$12.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $25.78 / $25.78	Facility		$25.78	$25.78	$25.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $14.92 / $17.87	Professional		$6.70	$14.92	$17.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $16.68 / $27.05	Facility		$10.87	$16.68	$27.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $13.12 / $15.70	Professional		$8.16	$13.12	$15.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $79,999.20 / $79,999.20	Facility		$11.09	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $17.98 / $30.00	Facility		$12.58	$17.98	$30.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $14.75 / $18.75	Professional		$8.77	$14.75	$18.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $12.47 / $24.95	Facility		$5.68	$12.47	$24.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.05 / $10.05	Professional		$10.05	$10.05	$10.05
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Professional		$12.43	$12.43	$12.43