Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.34 / $241.34 / $241.34	Facility		$241.34	$241.34	$241.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $2.62 / $10.44	Professional		$1.06	$2.62	$10.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.10 / $8.33	Professional		$5.75	$7.10	$8.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $3.33 / $5.95	Facility		$2.66	$3.33	$5.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.44 / $3.80	Professional		$2.72	$3.44	$3.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.54 / $4.16	Facility		$2.88	$3.54	$4.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.62 / $3.98	Professional		$2.88	$3.62	$3.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $3.45 / $5.95	Facility		$2.66	$3.45	$5.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $3.17 / $3.88	Professional		$1.85	$3.17	$3.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.98 / $3.98	Professional		$3.78	$3.98	$3.98
United Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.54 / $2.93	Professional		$1.38	$1.54	$2.93