Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $90.00 / $209.00	Facility		$38.25	$90.00	$209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $37.35 / $47.06	Professional		$1.93	$37.35	$47.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $76.50 / $76.50	Facility		$76.50	$76.50	$76.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $5.68 / $6.80	Professional		$2.54	$5.68	$6.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $49.50 / $80.30	Facility		$1.44	$49.50	$80.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.74 / $2.81	Professional		$0.68	$0.74	$2.81
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 $37.35 / $49.50 / $80.30	Facility		$37.35	$49.50	$80.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $38.25 / $48.59	Professional		$1.74	$38.25	$48.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $42.24 / $42.24	Professional		$42.24	$42.24	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50