Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $13.43 / $19.42	Facility		$11.16	$13.43	$19.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $11.16 / $30.18	Professional		$9.64	$11.16	$30.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $21.37 / $27.76	Facility		$9.10	$21.37	$27.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $10.46	Professional		$9.64	$9.64	$10.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $24.85 / $33.18	Professional		$9.64	$24.85	$33.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $13.79 / $27.36	Facility		$9.64	$13.79	$27.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.60 / $13.33	Professional		$9.64	$10.60	$13.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $12.05 / $28.92	Facility		$9.64	$12.05	$28.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $20.66 / $27.76	Facility		$9.64	$20.66	$27.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $12.91 / $15.76	Professional		$10.46	$12.91	$15.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $66.50	Professional		$9.64	$9.64	$66.50