Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.82 / $202.82 / $202.82	Facility		$202.82	$202.82	$202.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $2.46 / $9.78	Professional		$0.99	$2.46	$9.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $7.10 / $8.33	Professional		$5.71	$7.10	$8.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.99 / $5.35	Facility		$2.49	$2.99	$5.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.22 / $3.56	Professional		$2.54	$3.22	$3.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.31 / $3.90	Facility		$2.69	$3.31	$3.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.39 / $3.39	Professional		$2.69	$3.39	$3.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $3.23 / $5.35	Facility		$2.49	$3.23	$5.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.97 / $3.62	Professional		$1.73	$2.97	$3.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.73 / $3.73	Professional		$3.54	$3.73	$3.73
United Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.44 / $2.75	Professional		$1.33	$1.44	$2.75