Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.90 / $136.22	Facility		$1.23	$2.90	$136.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.23	Professional		$1.20	$1.20	$1.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $2.90 / $2.90	Facility		$2.90	$2.90	$2.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $6.39 / $7.66	Professional		$2.87	$6.39	$7.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.72 / $2.58	Facility		$1.20	$1.72	$2.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.71 / $2.89	Professional		$0.70	$0.71	$2.89
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 $1.20 / $1.88 / $3.00	Facility		$1.20	$1.88	$3.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $1.51 / $7.16	Professional		$0.51	$1.51	$7.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Professional		$0.45	$0.45	$0.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Professional		$1.21	$1.21	$1.21