Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $4.99 / $4.99	Facility		$4.99	$4.99	$4.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $19.05	Professional		$3.31	$3.31	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Facility		$4.20	$4.20	$4.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.20 / $4.95	Professional		$3.57	$4.20	$4.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $5.67 / $16.00	Professional		$4.41	$5.67	$16.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $6.88 / $7.86	Facility		$3.31	$6.88	$7.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $5.92 / $6.91	Professional		$0.64	$5.92	$6.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $6.88 / $8.16	Facility		$6.30	$6.88	$8.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.86 / $7.42	Professional		$6.30	$6.86	$7.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $6.24 / $9.14	Facility		$3.31	$6.24	$9.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $5.81 / $7.22	Professional		$4.20	$5.81	$7.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $10.98	Facility		$9.33	$9.33	$10.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $6.33 / $6.33	Professional		$6.33	$6.33	$6.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.52 / $5.86	Professional		$3.05	$3.52	$5.86