Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.75 / $5.01	Facility		$2.14	$2.75	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.75	Professional		$2.00	$2.00	$2.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.95 / $4.17	Facility		$2.04	$2.95	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.34	Professional		$2.14	$2.14	$2.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.37 / $5.13	Professional		$2.00	$4.37	$5.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.40 / $4.37	Facility		$2.14	$2.40	$4.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.29 / $2.82	Professional		$2.14	$2.29	$2.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.63 / $4.37	Facility		$2.09	$2.63	$4.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.09 / $6.17	Facility		$2.14	$3.09	$6.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.34 / $79.43	Professional		$2.14	$2.34	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.16 / $6.76	Facility		$2.00	$3.16	$6.76
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $5.13	Facility		$2.14	$2.14	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14