Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $11.04 / $183.40	Facility		$5.29	$11.04	$183.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.46 / $91.34	Professional		$5.29	$5.46	$91.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $8.21 / $10.28	Facility		$5.00	$8.21	$10.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.00	Professional		$5.30	$5.30	$6.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $11.35 / $13.89	Professional		$8.67	$11.35	$13.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $5.30 / $8.93	Facility		$1.50	$5.30	$8.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.62 / $6.89	Professional		$5.11	$5.62	$6.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $6.00 / $15.90	Facility		$5.29	$6.00	$15.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $5.30 / $8.86	Facility		$1.99	$5.30	$8.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.30 / $6.17	Professional		$4.80	$5.30	$6.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $5.83	Professional		$5.30	$5.30	$5.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.10	Professional		$5.30	$5.30	$6.10