Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $16.98 / $47.86	Facility		$5.62	$16.98	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.31 / $23.44	Professional		$2.00	$3.31	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $9.77 / $13.18	Facility		$6.03	$9.77	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.72 / $6.46	Professional		$2.45	$3.72	$6.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.94 / $9.33	Professional		$3.63	$7.94	$9.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $37.15	Facility		$3.63	$3.63	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.57 / $7.41	Professional		$3.63	$4.57	$7.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $10.00	Facility		$3.63	$3.63	$10.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.25 / $12.59	Facility		$3.55	$5.25	$12.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.57 / $79.43	Professional		$3.63	$4.57	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.96 / $15.14	Facility		$5.50	$10.96	$15.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.63 / $4.68	Professional		$2.75	$3.63	$4.68
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $5.89	Facility		$4.37	$4.37	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.09 / $5.13	Professional		$1.55	$2.09	$5.13