Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $2.77 / $313.20	Facility		$1.43	$2.77	$313.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.43	Professional		$1.39	$1.39	$1.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.86 / $2.86	Facility		$2.86	$2.86	$2.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Professional		$1.43	$1.43	$1.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $7.82 / $9.35	Professional		$3.51	$7.82	$9.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.85 / $2.99	Facility		$1.14	$1.85	$2.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.47 / $2.71	Professional		$1.40	$1.47	$2.71
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 $1.09 / $1.74 / $2.86	Facility		$1.09	$1.74	$2.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $1.09 / $8.75	Professional		$0.77	$1.09	$8.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88
United Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.40	Professional		$1.40	$1.40	$1.40