Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $7.20 / $25.69	Facility		$3.06	$7.20	$25.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.99 / $4.62	Professional		$2.88	$2.99	$4.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.12 / $6.12	Facility		$6.12	$6.12	$6.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $86.18 / $106.52	Professional		$73.70	$86.18	$106.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $3.14 / $72.20	Facility		$1.46	$3.14	$72.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $50.80 / $57.75	Professional		$19.07	$50.80	$57.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $79,999.20 / $79,999.20	Facility		$0.43	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $3.71 / $72.20	Facility		$1.46	$3.71	$72.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.13 / $4.49	Professional		$3.06	$4.13	$4.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $50.16	Professional		$50.16	$50.16	$50.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.45	Professional		$3.00	$3.00	$3.45