Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.78 / $28.84	Facility		$12.02	$17.78	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.85	Professional		$12.02	$12.02	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.38 / $24.55	Facility		$11.48	$17.38	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $13.18	Professional		$12.02	$12.02	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $30.90	Professional		$12.02	$25.70	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.88 / $24.55	Facility		$12.02	$12.88	$24.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $15.85	Professional		$12.02	$12.88	$15.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $25.12	Facility		$12.02	$15.14	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $36.31	Facility		$12.02	$17.38	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.18 / $79.43	Professional		$12.30	$13.18	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.50 / $38.02	Facility		$10.96	$19.50	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $28.84	Facility		$12.02	$12.02	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02