Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $81.00 / $860.62	Facility		$6.22	$81.00	$860.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $25.44 / $359.84	Professional		$5.05	$25.44	$359.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $9.52 / $19.04	Facility		$4.76	$9.52	$19.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.49	Professional		$5.05	$5.05	$5.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $11.36 / $14.48	Professional		$5.05	$11.36	$14.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $7.24 / $29.30	Facility		$5.05	$7.24	$29.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.36 / $6.33	Professional		$5.05	$5.36	$6.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.98 / $15.18	Facility		$5.05	$5.98	$15.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $9.52 / $19.14	Facility		$5.05	$9.52	$19.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $7.00 / $8.66	Professional		$5.49	$7.00	$8.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.82	Professional		$5.05	$5.05	$5.82