Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $18.64 / $24.56	Facility		$11.99	$18.64	$24.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.28 / $19.54	Professional		$12.27	$12.28	$19.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $28.40 / $29.09	Facility		$11.59	$28.40	$29.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $15.07	Professional		$12.28	$12.28	$15.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $28.45 / $49.10	Professional		$20.82	$28.45	$49.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $14.12 / $34.32	Facility		$11.99	$14.12	$34.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $13.51 / $17.19	Professional		$12.28	$13.51	$17.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $14.49 / $36.84	Facility		$11.99	$14.49	$36.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $17.62 / $34.32	Facility		$12.28	$17.62	$34.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $20.28 / $32.46	Professional		$12.28	$20.28	$32.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $29.06 / $61.07	Facility		$7.90	$29.06	$61.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $14.74	Professional		$12.28	$12.28	$14.74
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $14.12	Professional		$12.28	$12.28	$14.12