Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $92.52 / $685.10	Facility		$4.34	$92.52	$685.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.78 / $137.97	Professional		$3.22	$4.78	$137.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $7.02 / $7.07	Facility		$3.04	$7.02	$7.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.49	Professional		$3.22	$3.22	$3.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $8.52 / $11.07	Professional		$3.22	$8.52	$11.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $4.59 / $10.56	Facility		$1.44	$4.59	$10.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.41 / $4.19	Professional		$3.22	$3.41	$4.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.19 / $8.19	Facility		$3.22	$4.19	$8.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $7.02 / $10.56	Facility		$3.04	$7.02	$10.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.21 / $5.58	Professional		$3.22	$4.21	$5.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Professional		$3.22	$3.22	$3.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.70	Professional		$3.22	$3.22	$3.70