Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.50 / $691.83	Facility		$2.75	$5.50	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $4.17	Professional		$2.00	$2.00	$4.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $4.07 / $6.03	Facility		$2.63	$4.07	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.24	Professional		$2.75	$2.75	$3.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.75 / $7.59	Professional		$4.17	$5.75	$7.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.31 / $11.22	Facility		$2.75	$3.31	$11.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.24 / $5.75	Professional		$2.00	$3.24	$5.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.39 / $5.62	Facility		$2.75	$3.39	$5.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.98 / $11.22	Facility		$2.75	$3.98	$11.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.55 / $79.43	Professional		$2.40	$3.55	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $53.70	Facility		$7.41	$7.41	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.02	Professional		$2.75	$2.75	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.24	Professional		$2.75	$2.75	$3.24