Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $117.49 / $117.49	Facility		$10.96	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $31.62	Professional		$10.96	$12.02	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.98 / $23.99	Facility		$11.22	$16.98	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.13	Professional		$11.75	$11.75	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $323.59	Professional		$125.89	$245.47	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $141.25	Facility		$11.75	$14.13	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $239.88 / $316.23	Professional		$16.60	$239.88	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $17.78	Facility		$11.75	$11.75	$17.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.49 / $147.91	Facility		$11.22	$13.49	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $79.43 / $125.89	Professional		$15.14	$79.43	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $125.89 / $125.89	Professional		$30.20	$125.89	$125.89