Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $3.80	Facility		$1.62	$1.62	$3.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.62	Professional		$1.58	$1.58	$1.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.25 / $3.40	Facility		$1.58	$2.25	$3.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.18 / $4.20	Professional		$1.85	$2.18	$4.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $79,999.20 / $79,999.20	Facility		$2.40	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $2.09 / $3.40	Facility		$1.65	$2.09	$3.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.98 / $1.98	Professional		$1.62	$1.98	$1.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.69 / $6.14	Facility		$1.68	$2.69	$6.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58