Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $5.15 / $9.11	Facility		$3.88	$5.15	$9.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.78 / $6.44	Professional		$3.65	$3.78	$6.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $7.76	Facility		$3.95	$3.95	$7.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.95 / $8.13	Facility		$3.78	$3.95	$8.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.96 / $4.75	Professional		$3.95	$3.96	$4.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $79,999.20 / $79,999.20	Facility		$4.30	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.97 / $7.92	Facility		$3.78	$3.97	$7.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $4.75 / $5.21	Professional		$3.88	$4.75	$5.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $6.45 / $12.98	Facility		$3.61	$6.45	$12.98
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $4.41	Professional		$3.80	$3.80	$4.41