Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $37.22 / $37.22	Facility		$37.22	$37.22	$37.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $28.98 / $37.22	Professional		$15.60	$28.98	$37.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $39.43 / $39.43	Facility		$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $41.55 / $155.93	Professional		$34.18	$41.55	$155.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $73.15 / $94.08	Professional		$54.84	$73.15	$94.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $37.22 / $68.48	Facility		$15.60	$37.22	$68.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $56.95 / $67.00	Facility		$40.20	$56.95	$67.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $35.90 / $58.54	Facility		$17.48	$35.90	$58.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $32.40 / $48.36	Professional		$24.30	$32.40	$48.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $57.00 / $85.90	Professional		$42.97	$57.00	$85.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $64.16 / $103.61	Professional		$47.43	$64.16	$103.61