Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $13.46 / $24.14	Facility		$12.00	$13.46	$24.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.19 / $2,774.84	Professional		$12.07	$12.19	$2,774.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $16.26 / $22.98	Facility		$11.39	$16.26	$22.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $13.09	Professional		$12.07	$12.07	$13.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $26.28 / $30.63	Professional		$11.80	$26.28	$30.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $17.26 / $25.95	Facility		$12.07	$17.26	$25.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.79 / $15.69	Professional		$12.07	$12.79	$15.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $13.89 / $36.00	Facility		$12.00	$13.89	$36.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $12.47 / $20.70	Facility		$10.74	$12.47	$20.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $13.10 / $14.36	Professional		$12.07	$13.10	$14.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $12.07 / $30.61	Facility		$9.69	$12.07	$30.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07