Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $9.00 / $14.35	Facility		$5.61	$9.00	$14.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5.61 / $30.34	Professional		$4.50	$5.61	$30.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $9.52 / $12.48	Facility		$4.24	$9.52	$12.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.88	Professional		$4.50	$4.50	$4.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $12.07 / $17.87	Professional		$4.50	$12.07	$17.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $6.44 / $12.54	Facility		$4.50	$6.44	$12.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.76 / $5.85	Professional		$4.50	$4.76	$5.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $5.63 / $16.51	Facility		$4.50	$5.63	$16.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $9.91 / $22.08	Facility		$4.50	$9.91	$22.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $8.41 / $13.34	Professional		$4.88	$8.41	$13.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50