Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.49 / $38.90	Facility		$6.76	$13.49	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.76 / $8.91	Professional		$6.03	$6.76	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $43.65	Facility		$6.31	$6.31	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $7.24	Professional		$6.76	$6.76	$7.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $34.67 / $40.74	Professional		$6.76	$34.67	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.08 / $12.30	Facility		$6.76	$7.08	$12.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.08 / $12.88	Professional		$6.76	$7.08	$12.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $33.11	Facility		$16.22	$19.95	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $18.20 / $112.20	Facility		$6.76	$18.20	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.32 / $79.43	Professional		$7.24	$8.32	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $204.17	Facility		$70.79	$109.65	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $7.76	Professional		$6.76	$6.76	$7.76