Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $194.98 / $891.25	Facility		$4.37	$194.98	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $52.48 / $562.34	Professional		$2.00	$52.48	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $5.37 / $8.91	Facility		$2.51	$5.37	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.88	Professional		$2.69	$2.69	$2.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $6.46 / $7.76	Professional		$2.69	$6.46	$7.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.95 / $501.19	Facility		$2.69	$2.95	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.24 / $245.47	Professional		$2.69	$3.24	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.80 / $6.31	Facility		$3.02	$3.80	$6.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.37 / $11.22	Facility		$2.69	$5.37	$11.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.31 / $79.43	Professional		$2.88	$3.31	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.09	Professional		$2.69	$2.69	$3.09