Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.94 / $12.02	Professional		$3.98	$7.94	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $25.70 / $30.20	Professional		$10.47	$25.70	$30.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.22 / $14.79	Facility		$10.00	$11.22	$14.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.96 / $14.79	Professional		$10.23	$10.96	$14.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $13.49 / $13.80	Facility		$12.30	$13.49	$13.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $13.80	Professional		$12.02	$13.80	$13.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.02 / $16.98	Facility		$7.76	$12.02	$16.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.18 / $70.79	Professional		$7.08	$13.18	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $15.49	Professional		$14.13	$15.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $5.37	Facility		$4.47	$4.47	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.89 / $11.22	Professional		$5.25	$5.89	$11.22