Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.02	Professional		$1.00	$1.00	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.45	Professional		$1.45	$1.45	$1.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.01 / $151.36	Professional		$3.80	$5.01	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.24 / $3.39	Facility		$1.86	$2.24	$3.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.24 / $3.02	Professional		$2.04	$2.24	$3.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.75 / $2.82	Facility		$2.24	$2.75	$2.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.82 / $2.82	Professional		$2.45	$2.82	$2.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.57 / $3.89	Facility		$1.74	$2.57	$3.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.69 / $79.43	Professional		$1.45	$2.69	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.16 / $3.16	Professional		$3.02	$3.16	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.20 / $2.00	Professional		$0.79	$1.20	$2.00