Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $416.87	Facility		$69.18	$97.72	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $18.20 / $154.88	Professional		$0.71	$18.20	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.17 / $0.24	Facility		$0.10	$0.17	$0.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.15	Professional		$0.10	$0.10	$0.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.72 / $0.85	Professional		$0.33	$0.72	$0.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $61.66 / $288.40	Facility		$0.10	$61.66	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.13 / $154.88	Professional		$0.10	$0.13	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.14 / $0.23	Facility		$0.11	$0.14	$0.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.17 / $0.36	Facility		$0.10	$0.17	$0.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.13 / $79.43	Professional		$0.09	$0.13	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12