Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $9.38 / $11.13	Facility		$5.45	$9.38	$11.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.87 / $229.65	Professional		$4.69	$4.87	$229.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $8.64 / $11.18	Facility		$4.43	$8.64	$11.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $5.09	Professional		$4.69	$4.69	$5.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $12.07 / $16.17	Professional		$4.69	$12.07	$16.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $6.71 / $23.80	Facility		$4.69	$6.71	$23.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.97 / $6.10	Professional		$4.69	$4.97	$6.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $5.86 / $15.14	Facility		$4.69	$5.86	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $10.08 / $18.80	Facility		$4.69	$10.08	$18.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.62 / $10.70	Professional		$4.69	$6.62	$10.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $15.60 / $32.14	Facility		$7.09	$15.60	$32.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69