Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $72.44 / $281.84	Facility		$44.67	$72.44	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $52.48 / $758.58	Professional		$18.20	$52.48	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.20 / $0.24	Facility		$0.10	$0.20	$0.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.12	Professional		$0.11	$0.11	$0.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.71 / $0.85	Professional		$0.33	$0.71	$0.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.13 / $2.95	Facility		$0.11	$0.13	$2.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.23 / $77.62	Professional		$0.13	$0.23	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.13 / $0.23	Facility		$0.10	$0.13	$0.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.16 / $2.63	Facility		$0.11	$0.16	$2.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.15 / $79.43	Professional		$0.11	$0.15	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.62 / $5.13	Facility		$1.38	$1.62	$5.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13