Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $19.76 / $122.08	Facility		$2.71	$19.76	$122.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.02 / $9.60	Professional		$2.20	$3.02	$9.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $3.50 / $4.94	Facility		$2.08	$3.50	$4.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.40	Professional		$2.21	$2.21	$2.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $5.68 / $6.80	Professional		$2.21	$5.68	$6.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $3.16 / $143.02	Facility		$1.15	$3.16	$143.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.34 / $2.76	Professional		$2.21	$2.34	$2.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $2.87 / $5.43	Facility		$2.21	$2.87	$5.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $3.50 / $5.84	Facility		$2.08	$3.50	$5.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.44 / $3.43	Professional		$1.32	$2.44	$3.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Professional		$2.21	$2.21	$2.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Professional		$2.21	$2.21	$2.21