Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $30.00 / $197.43	Facility		$2.40	$30.00	$197.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.54 / $43.20	Professional		$2.02	$2.54	$43.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.82 / $3.88	Facility		$1.91	$2.82	$3.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.19	Professional		$2.02	$2.02	$2.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $4.97 / $5.76	Professional		$2.02	$4.97	$5.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.89 / $9.16	Facility		$2.02	$2.89	$9.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.14 / $5.45	Professional		$2.02	$2.14	$5.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.47 / $6.06	Facility		$2.02	$2.47	$6.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.89 / $6.48	Facility		$2.02	$2.89	$6.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.49 / $3.87	Professional		$2.16	$2.49	$3.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.42	Professional		$2.02	$2.02	$2.42