Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $77.65 / $77.65	Facility		$1.93	$77.65	$77.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $1.68	Professional		$1.68	$1.68	$1.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.46 / $3.46	Facility		$3.46	$3.46	$3.46
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 $22.56 / $26.02 / $32.35	Professional		$22.56	$26.02	$32.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.23 / $3.61	Facility		$1.68	$2.23	$3.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $9.25 / $15.41	Facility		$1.93	$9.25	$15.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.38 / $3.80	Facility		$1.68	$2.38	$3.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.27 / $12.75	Professional		$1.73	$2.27	$12.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $1.93 / $1.93	Professional		$1.93	$1.93	$1.93
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.94	Professional		$1.69	$1.69	$1.94