Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $5.45 / $659.20	Facility		$4.36	$5.45	$659.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.88 / $975.36	Professional		$4.45	$4.88	$975.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $7.27 / $8.72	Facility		$4.20	$7.27	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $5.04	Professional		$4.45	$4.45	$5.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $9.35 / $12.05	Professional		$7.32	$9.35	$12.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $5.34 / $9.57	Facility		$4.36	$5.34	$9.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.71 / $5.79	Professional		$4.45	$4.71	$5.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $5.12 / $13.35	Facility		$4.36	$5.12	$13.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $5.16 / $8.50	Facility		$4.45	$5.16	$8.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.16 / $5.66	Professional		$4.45	$5.16	$5.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $6.77 / $15.30	Facility		$4.03	$6.77	$15.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $4.90	Professional		$4.45	$4.45	$4.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $5.14	Professional		$4.45	$4.45	$5.14