Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $21.88 / $213.80	Facility		$1.82	$21.88	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.34	Professional		$1.00	$1.00	$2.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.34 / $3.16	Facility		$1.26	$2.34	$3.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.45	Professional		$1.32	$1.32	$1.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.88 / $3.39	Professional		$1.32	$2.88	$3.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.45 / $75.86	Facility		$1.32	$1.45	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.45 / $4.17	Professional		$1.32	$1.45	$4.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.74 / $3.31	Facility		$1.38	$1.74	$3.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.34 / $4.79	Facility		$1.32	$2.34	$4.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.58 / $79.43	Professional		$1.35	$1.58	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.51	Professional		$1.32	$1.32	$1.51