Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $17.27 / $25.60	Facility		$12.10	$17.27	$25.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $8.68 / $19.94	Professional		$6.05	$8.68	$19.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $22.34 / $25.14	Facility		$5.70	$22.34	$25.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.56	Professional		$6.05	$6.05	$6.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $28.41 / $41.70	Professional		$6.05	$28.41	$41.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $8.65 / $28.69	Facility		$6.05	$8.65	$28.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.41 / $7.87	Professional		$6.05	$6.41	$7.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $12.55 / $31.12	Facility		$6.05	$12.55	$31.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $22.34 / $35.28	Facility		$6.05	$22.34	$35.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $8.23 / $22.05	Professional		$6.56	$8.23	$22.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05