Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $58.80 / $413.01	Facility		$1.75	$58.80	$413.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.80 / $68.88	Professional		$1.69	$1.80	$68.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $3.28 / $3.35	Facility		$1.65	$3.28	$3.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.06	Professional		$1.75	$1.75	$2.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.09 / $5.56	Professional		$2.25	$3.09	$5.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $3.76 / $112.28	Facility		$1.40	$3.76	$112.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.00 / $2.45	Professional		$1.75	$2.00	$2.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $1.93 / $5.25	Facility		$1.40	$1.93	$5.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.06 / $16.57	Facility		$1.75	$3.06	$16.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.58 / $3.13	Professional		$1.90	$2.58	$3.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.93	Professional		$1.75	$1.75	$1.93
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.19	Professional		$1.75	$1.75	$2.19