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 / $12.88	Professional		$3.98	$7.94	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $30.20 / $36.31	Professional		$10.96	$30.20	$36.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.96 / $16.98	Facility		$10.47	$10.96	$16.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.48 / $15.49	Professional		$10.47	$11.48	$15.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.80 / $16.60	Facility		$11.22	$13.80	$16.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.13 / $16.60	Professional		$12.30	$14.13	$16.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.59 / $18.20	Facility		$8.13	$12.59	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.49 / $70.79	Professional		$8.51	$13.49	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.85 / $15.85	Professional		$14.45	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $6.46	Facility		$5.37	$5.37	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.08 / $13.49	Professional		$6.31	$7.08	$13.49