Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Professional		$1.00	$2.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.75 / $7.41	Professional		$4.90	$5.75	$7.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.95 / $5.89	Facility		$1.74	$2.95	$5.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Professional		$1.00	$2.00	$2.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.25 / $12.02	Facility		$4.37	$5.25	$12.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.02 / $5.89	Facility		$1.66	$3.02	$5.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $79.43	Professional		$3.55	$3.55	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.89 / $7.41	Professional		$5.37	$5.89	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.74 / $2.88	Professional		$1.15	$1.74	$2.88