Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $19.23 / $4,270.13	Facility		$12.96	$19.23	$4,270.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.96 / $1,429.00	Professional		$10.54	$10.96	$1,429.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $22.99 / $26.12	Facility		$9.94	$22.99	$26.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $13.06	Professional		$10.54	$10.54	$13.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $27.36 / $38.89	Professional		$20.05	$27.36	$38.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $12.51 / $23.46	Facility		$10.54	$12.51	$23.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.18 / $14.35	Professional		$10.54	$11.18	$14.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $13.18 / $31.62	Facility		$10.54	$13.18	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $13.54 / $24.08	Facility		$10.54	$13.54	$24.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $16.68 / $18.48	Professional		$10.90	$16.68	$18.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $22.04 / $44.96	Facility		$13.24	$22.04	$44.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $12.65	Professional		$10.54	$10.54	$12.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $12.12	Professional		$10.54	$10.54	$12.12