Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $9.58 / $91.31	Facility		$4.79	$9.58	$91.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.83 / $8.33	Professional		$4.79	$4.83	$8.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $9.28 / $12.72	Facility		$4.51	$9.28	$12.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.19	Professional		$4.79	$4.79	$5.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $10.64 / $17.03	Professional		$4.78	$10.64	$17.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.85 / $40.26	Facility		$4.79	$6.85	$40.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.27 / $6.96	Professional		$4.79	$5.27	$6.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.99 / $14.37	Facility		$4.79	$5.99	$14.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $9.28 / $19.45	Facility		$4.79	$9.28	$19.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $8.21 / $52.73	Professional		$5.19	$8.21	$52.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $192.37 / $192.37 / $192.37	Facility		$192.37	$192.37	$192.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.51	Professional		$4.79	$4.79	$5.51