Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.00 / $18.62	Facility		$5.50	$10.00	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $9.33	Professional		$5.01	$5.01	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $10.96 / $13.18	Facility		$5.13	$10.96	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $6.61	Professional		$5.50	$5.50	$6.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $19.50	Professional		$11.48	$15.85	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.61 / $27.54	Facility		$5.50	$6.61	$27.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.46 / $18.20	Professional		$5.01	$6.46	$18.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.55 / $15.85	Facility		$7.76	$9.55	$15.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.77 / $33.11	Facility		$5.50	$9.77	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $79.43	Professional		$5.01	$7.94	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $6.03	Professional		$5.50	$5.50	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $6.46	Professional		$5.50	$5.50	$6.46