Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $12.34 / $39.04	Facility		$3.14	$12.34	$39.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $6.83 / $62.54	Professional		$3.17	$6.83	$62.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $10.17 / $10.36	Facility		$6.44	$10.17	$10.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $7.41	Professional		$6.83	$6.83	$7.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $7.10 / $18.73	Professional		$3.19	$7.10	$18.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $9.77 / $21.62	Facility		$6.83	$9.77	$21.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $7.24 / $8.53	Professional		$6.83	$7.24	$8.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $6.83 / $15.92	Facility		$3.14	$6.83	$15.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $11.14 / $21.28	Facility		$6.83	$11.14	$21.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.99 / $14.00	Professional		$7.41	$8.99	$14.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83