Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Facility		$11.70	$11.70	$11.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $35.43	Professional		$11.88	$11.88	$35.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $17.09 / $24.02	Facility		$11.21	$17.09	$24.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $14.01	Professional		$11.88	$11.88	$14.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $28.39 / $34.27	Professional		$23.07	$28.39	$34.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $11.88 / $25.54	Facility		$6.30	$11.88	$25.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.60 / $15.42	Professional		$11.88	$12.60	$15.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $11.88 / $24.66	Facility		$11.55	$11.88	$24.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $14.85 / $25.54	Facility		$11.21	$14.85	$25.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $15.09 / $15.63	Professional		$11.88	$15.09	$15.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.88 / $11.88	Professional		$11.29	$11.88	$11.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $13.66	Professional		$11.88	$11.88	$13.66