Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.54 / $347.54 / $347.54	Facility		$347.54	$347.54	$347.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.77 / $3.16	Professional		$0.32	$0.77	$3.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Professional		$0.55	$0.55	$0.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.37 / $2.78	Professional		$1.90	$2.37	$2.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.96 / $1.72	Facility		$0.80	$0.96	$1.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.05 / $1.15	Professional		$0.83	$1.05	$1.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.86 / $1.07 / $1.27	Facility		$0.86	$1.07	$1.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.10 / $1.21	Professional		$0.86	$1.10	$1.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.04 / $1.72	Facility		$0.80	$1.04	$1.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.96 / $1.17	Professional		$0.55	$0.96	$1.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.21 / $1.21	Professional		$1.14	$1.21	$1.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.46 / $0.88	Professional		$0.43	$0.46	$0.88