Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $31.59 / $36.65	Professional		$14.32	$31.59	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $169.95	Professional		$52.58	$52.58	$169.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $90.60 / $99.70	Professional		$79.25	$90.60	$99.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $32.64 / $81.84	Facility		$26.59	$32.64	$81.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $55.00 / $67.00	Facility		$40.20	$55.00	$67.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $32.47 / $69.83	Facility		$20.95	$32.47	$69.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $52.58 / $74.77	Professional		$41.68	$52.58	$74.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $69.11 / $94.75	Professional		$38.29	$69.11	$94.75
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $22.98 / $86.36	Professional		$16.80	$22.98	$86.36