Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $36.31 / $288.40	Facility		$4.79	$36.31	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.89 / $186.21	Professional		$3.98	$5.89	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $6.92 / $9.77	Facility		$4.57	$6.92	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.25	Professional		$4.79	$4.79	$5.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $10.72 / $12.88	Professional		$4.79	$10.72	$12.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.13 / $147.91	Facility		$4.79	$5.13	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.37 / $8.71	Professional		$4.79	$5.37	$8.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $6.03 / $10.00	Facility		$4.90	$6.03	$10.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.92 / $14.45	Facility		$4.79	$6.92	$14.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.37 / $79.43	Professional		$4.79	$5.37	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.90	Professional		$4.79	$4.79	$4.90