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 / $82.78	Professional		$4.80	$4.80	$82.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $5.25 / $6.56	Professional		$3.22	$5.25	$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 / $7.13	Professional		$4.95	$5.45	$7.13
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 $3.32 / $5.94 / $16.57	Facility		$3.32	$5.94	$16.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.45 / $7.33	Professional		$4.95	$5.45	$7.33
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 Professional Modifier Low / Median / High Price $2.08 / $2.57 / $5.94	Professional		$2.08	$2.57	$5.94