Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $24.25 / $131.82	Facility		$1.73	$24.25	$131.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.49 / $6.40	Professional		$1.26	$1.49	$6.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.77 / $2.48	Facility		$1.19	$1.77	$2.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.37	Professional		$1.26	$1.26	$1.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.85 / $3.41	Professional		$1.26	$2.85	$3.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $5.57 / $67.45	Facility		$1.80	$5.57	$67.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $1.34 / $1.58	Professional		$0.70	$1.34	$1.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.56 / $3.78	Facility		$1.26	$1.56	$3.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.80 / $3.79	Facility		$1.26	$1.80	$3.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $1.37 / $1.61	Professional		$0.66	$1.37	$1.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26