Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $416.87 / $1,148.15	Professional		$181.97	$416.87	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.54 / $0.66	Facility		$0.34	$0.54	$0.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.39	Professional		$0.36	$0.36	$0.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.72 / $0.85	Professional		$0.33	$0.72	$0.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.38 / $0.89	Facility		$0.36	$0.38	$0.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.42 / $281.84	Professional		$0.36	$0.42	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.40 / $0.68	Facility		$0.32	$0.40	$0.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.41 / $1.12	Facility		$0.40	$0.41	$1.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $79.43	Professional		$0.23	$0.23	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.98 / $2.40	Facility		$0.55	$0.98	$2.40
United Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $0.85	Facility		$0.36	$0.36	$0.85
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Professional		$0.36	$0.36	$0.36