Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $21.53	Facility		$4.95	$4.95	$21.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $17.18	Professional		$4.80	$4.80	$17.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $6.56	Professional		$2.60	$2.60	$6.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $11.82 / $12.76	Professional		$4.95	$11.82	$12.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $4.95 / $10.32	Facility		$2.62	$4.95	$10.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.45 / $6.73	Professional		$4.95	$5.45	$6.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $5.20 / $7.43	Facility		$4.95	$5.20	$7.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $5.69 / $10.32	Facility		$2.62	$5.69	$10.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.45 / $7.08	Professional		$4.46	$5.45	$7.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $15.28 / $20.45	Facility		$9.65	$15.28	$20.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $7.94 / $12.31	Professional		$4.34	$7.94	$12.31
United Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $7.43 / $7.92	Facility		$7.43	$7.43	$7.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.57 / $5.94	Professional		$2.08	$2.57	$5.94