Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $19.36 / $177.36	Facility		$1.50	$19.36	$177.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.23 / $4.43	Professional		$1.22	$1.23	$4.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.76 / $2.40	Facility		$1.14	$1.76	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.33	Professional		$1.22	$1.22	$1.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $2.85 / $3.41	Professional		$1.22	$2.85	$3.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.74 / $5.18	Facility		$1.22	$1.74	$5.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.30 / $6.04	Professional		$1.22	$1.30	$6.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.53 / $2.56	Facility		$1.22	$1.53	$2.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.76 / $3.67	Facility		$1.22	$1.76	$3.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.53 / $3.33	Professional		$1.32	$1.53	$3.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.46	Professional		$1.22	$1.22	$1.46