Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $14.39 / $314.64	Facility		$4.80	$14.39	$314.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.97	Professional		$14.39	$14.39	$14.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.05 / $4.05	Facility		$4.05	$4.05	$4.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $30.94	Facility		$14.39	$14.39	$30.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.38 / $4.58	Professional		$2.00	$2.38	$4.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $79,999.20 / $79,999.20	Facility		$2.65	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $14.39 / $22.66	Facility		$2.49	$14.39	$22.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.49 / $2.69	Professional		$2.02	$2.49	$2.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $2.94 / $6.72	Facility		$1.97	$2.94	$6.72