Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $21.24	Facility		$10.62	$10.62	$21.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.72 / $36.40	Professional		$10.62	$10.72	$36.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $66.90 / $66.90	Facility		$66.90	$66.90	$66.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $23.43 / $28.08	Professional		$10.52	$23.43	$28.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $15.19 / $29.05	Facility		$10.62	$15.19	$29.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $11.68 / $19.67	Professional		$10.62	$11.68	$19.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $16.98 / $79,999.20	Facility		$10.62	$16.98	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $21.05 / $34.20	Facility		$13.28	$21.05	$34.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $13.28 / $33.45	Professional		$11.51	$13.28	$33.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $16.98 / $38.79	Facility		$11.68	$16.98	$38.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62