Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $38.59 / $263.64	Facility		$2.02	$38.59	$263.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.12 / $5.38	Professional		$1.81	$2.12	$5.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $2.54 / $3.64	Facility		$1.71	$2.54	$3.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.96	Professional		$1.81	$1.81	$1.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $4.25 / $5.09	Professional		$1.81	$4.25	$5.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.59 / $80.28	Facility		$1.81	$2.59	$80.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.92 / $2.25	Professional		$1.81	$1.92	$2.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.25 / $5.43	Facility		$1.81	$2.25	$5.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.59 / $5.33	Facility		$1.81	$2.59	$5.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.97 / $2.27	Professional		$1.28	$1.97	$2.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81