Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $75.86 / $331.13	Facility		$17.78	$75.86	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $13.18 / $794.33	Professional		$6.17	$13.18	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.95 / $1.00	Facility		$0.33	$0.95	$1.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.43	Professional		$0.34	$0.34	$0.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.72 / $1.45	Professional		$0.54	$0.72	$1.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.44 / $41.69	Facility		$0.35	$0.44	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.68 / $20.89	Professional		$0.35	$0.68	$20.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.45 / $1.07	Facility		$0.36	$0.45	$1.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.66 / $39.81	Facility		$0.35	$0.66	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.74 / $79.43	Professional		$0.62	$0.74	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $109.65	Facility		$22.39	$22.39	$109.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.39	Professional		$0.35	$0.35	$0.39
United Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.42	Professional		$0.35	$0.35	$0.42