Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $70.65 / $386.85	Facility		$1.91	$70.65	$386.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.76 / $6.28	Professional		$1.74	$1.76	$6.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $2.58 / $3.64	Facility		$1.64	$2.58	$3.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.89	Professional		$1.74	$1.74	$1.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.93 / $5.09	Professional		$1.74	$3.93	$5.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $3.42 / $6.94	Facility		$1.74	$3.42	$6.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.85 / $2.39	Professional		$1.74	$1.85	$2.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.25 / $5.22	Facility		$1.74	$2.25	$5.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.58 / $5.39	Facility		$1.74	$2.58	$5.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.27 / $3.19	Professional		$1.74	$2.27	$3.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.00	Professional		$1.74	$1.74	$2.00