Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $85.11 / $154.88	Facility		$33.11	$85.11	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $33.11	Professional		$10.00	$21.88	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $100.00	Facility		$54.95	$54.95	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $2,951.21	Professional		$20.42	$38.90	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $87.10	Professional		$33.88	$74.13	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $48.98	Professional		$33.88	$38.02	$48.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $52.48	Facility		$30.90	$38.02	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $100.00	Facility		$33.11	$47.86	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $79.43	Professional		$33.11	$38.02	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $102.33 / $134.90	Facility		$60.26	$102.33	$134.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $40.74	Professional		$25.70	$30.90	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $54.95	Facility		$40.74	$40.74	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $40.74	Professional		$14.45	$14.79	$40.74