Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $28.84	Facility		$12.02	$17.38	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $3,801.89	Professional		$12.02	$12.88	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.22 / $22.91	Facility		$11.48	$16.22	$22.91
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 / $23.99	Facility		$12.02	$12.88	$23.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $23.99	Professional		$12.02	$12.88	$23.99
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 / $12.59 / $22.91	Facility		$12.02	$12.59	$22.91
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 $9.77 / $12.02 / $33.11	Facility		$9.77	$12.02	$33.11
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