Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $16.98 / $104.71	Facility		$8.71	$16.98	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.49 / $21.38	Professional		$8.71	$15.49	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $22.39 / $25.12	Facility		$14.79	$22.39	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $16.98	Professional		$15.49	$15.49	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $14.45 / $15.49	Professional		$6.03	$14.45	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $15.49 / $18.62	Facility		$5.75	$15.49	$18.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $16.60 / $19.50	Professional		$5.75	$16.60	$19.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.59 / $22.39	Facility		$6.03	$7.59	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $46.77	Facility		$15.49	$22.39	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $79.43	Professional		$12.59	$16.98	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49