Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $87.10 / $1,000.00	Facility		$58.88	$87.10	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $181.97	Professional		$61.66	$61.66	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.05 / $0.06	Facility		$0.03	$0.05	$0.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.72 / $0.85	Professional		$0.03	$0.72	$0.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.44 / $165.96	Facility		$0.03	$0.44	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.44 / $1.41	Professional		$0.03	$0.44	$1.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.04 / $0.06	Facility		$0.03	$0.04	$0.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.05 / $0.12	Facility		$0.03	$0.05	$0.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.04 / $79.43	Professional		$0.03	$0.04	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.21 / $0.89	Facility		$0.18	$0.21	$0.89
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03