Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $7.24 / $295.12	Facility		$3.63	$7.24	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.72 / $870.96	Professional		$3.02	$3.72	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $7.59 / $8.91	Facility		$3.39	$7.59	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.37	Professional		$3.63	$3.63	$4.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.33 / $12.30	Professional		$6.76	$9.33	$12.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.47 / $77.62	Facility		$3.63	$4.47	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.37 / $54.95	Professional		$3.02	$4.37	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.50 / $9.12	Facility		$4.37	$5.50	$9.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $6.31 / $87.10	Facility		$3.63	$6.31	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.03 / $79.43	Professional		$4.07	$6.03	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $25.70 / $169.82	Facility		$8.91	$25.70	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.63 / $5.01	Professional		$3.39	$3.63	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $8.71	Facility		$3.63	$3.63	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.17	Professional		$3.63	$3.63	$4.17