Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $6.03 / $6.03	Facility		$3.98	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.08	Professional		$3.98	$3.98	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $6.03 / $19.50	Facility		$4.57	$6.03	$19.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.08	Professional		$3.98	$3.98	$7.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $6.03 / $19.95	Facility		$4.57	$6.03	$19.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $79.43	Professional		$6.76	$6.76	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $21.88	Professional		$19.50	$19.50	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $50.12	Facility		$6.03	$6.03	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.03 / $10.96	Professional		$5.75	$6.03	$10.96