Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $354.81 / $933.25	Facility		$60.26	$354.81	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $72.44 / $316.23	Professional		$19.95	$72.44	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.18 / $0.26	Facility		$0.09	$0.18	$0.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.71 / $0.85	Professional		$0.33	$0.71	$0.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.12 / $72.44	Facility		$0.10	$0.12	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $57.54 / $239.88	Professional		$0.12	$57.54	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.18 / $0.28	Facility		$0.14	$0.18	$0.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.12 / $0.42	Facility		$0.10	$0.12	$0.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $79.43	Professional		$0.14	$0.15	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.11	Professional		$0.10	$0.10	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12