Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $14.44 / $23.10	Facility		$11.55	$14.44	$23.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $12.00 / $1,702.50	Professional		$11.53	$12.00	$1,702.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $16.28 / $23.04	Facility		$10.88	$16.28	$23.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $12.52	Professional		$11.54	$11.54	$12.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $25.56 / $30.63	Professional		$11.48	$25.56	$30.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $15.05 / $24.81	Facility		$11.54	$15.05	$24.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $12.23 / $15.00	Professional		$11.54	$12.23	$15.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $11.55 / $23.95	Facility		$11.38	$11.55	$23.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $16.28 / $24.81	Facility		$11.54	$16.28	$24.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $12.80 / $14.41	Professional		$11.54	$12.80	$14.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $18.43 / $41.71	Facility		$11.38	$18.43	$41.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Professional		$11.54	$11.54	$11.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Professional		$11.54	$11.54	$11.54