Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $3.45 / $141.65	Facility		$2.46	$3.45	$141.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.46 / $8.73	Professional		$2.37	$2.46	$8.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.78 / $3.20	Facility		$2.24	$2.78	$3.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.57	Professional		$2.37	$2.37	$2.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $5.60 / $6.57	Professional		$2.37	$5.60	$6.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $3.39 / $129.90	Facility		$1.61	$3.39	$129.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.52 / $2.97	Professional		$2.37	$2.52	$2.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.96 / $7.11	Facility		$2.37	$2.96	$7.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.20 / $5.30	Facility		$2.24	$3.20	$5.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.58 / $3.31	Professional		$2.37	$2.58	$3.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37