Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $117.49 / $117.49	Facility		$7.08	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $26.92	Professional		$7.08	$7.08	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $10.47 / $15.14	Facility		$7.41	$10.47	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $9.33	Professional		$7.94	$7.94	$9.33
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 $7.94 / $9.12 / $141.25	Facility		$7.94	$9.12	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $239.88 / $316.23	Professional		$9.12	$239.88	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.94 / $11.75	Facility		$7.08	$7.94	$11.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $9.12 / $169.82	Facility		$7.94	$9.12	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $79.43 / $125.89	Professional		$9.12	$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 $7.94 / $125.89 / $125.89	Professional		$7.94	$125.89	$125.89