Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $16.03 / $22.08	Facility		$11.03	$16.03	$22.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $13.37 / $4,407.00	Professional		$11.03	$13.37	$4,407.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $14.91 / $21.54	Facility		$10.41	$14.91	$21.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.98	Professional		$11.04	$11.04	$11.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $24.14 / $28.08	Professional		$10.84	$24.14	$28.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $15.79 / $52.78	Facility		$11.04	$15.79	$52.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.70 / $14.35	Professional		$11.04	$11.70	$14.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $13.79 / $25.72	Facility		$11.02	$13.79	$25.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $12.04 / $22.20	Facility		$11.43	$12.04	$22.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $13.18 / $17.16	Professional		$11.43	$13.18	$17.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $14.62 / $43.03	Facility		$11.04	$14.62	$43.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04