Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $35.93 / $271.64	Facility		$5.47	$35.93	$271.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.21 / $185.89	Professional		$4.86	$6.21	$185.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $6.93 / $9.76	Facility		$4.58	$6.93	$9.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $5.27	Professional		$4.86	$4.86	$5.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $10.64 / $12.76	Professional		$4.78	$10.64	$12.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $6.95 / $13.99	Facility		$4.86	$6.95	$13.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.18 / $6.08	Professional		$4.86	$5.18	$6.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $5.62 / $14.58	Facility		$4.84	$5.62	$14.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $6.95 / $13.99	Facility		$4.86	$6.95	$13.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $5.95 / $6.31	Professional		$5.27	$5.95	$6.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86