Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $9.90	Facility		$4.21	$4.21	$9.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $4.11 / $4.21	Professional		$4.11	$4.11	$4.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Facility		$8.42	$8.42	$8.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $5.88 / $8.84	Facility		$4.11	$5.88	$8.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $5.88 / $11.63	Facility		$4.30	$5.88	$11.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.69 / $5.16	Professional		$4.21	$4.69	$5.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $3.36 / $9.48	Facility		$2.86	$3.36	$9.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13