Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $98.07 / $98.07	Facility		$98.07	$98.07	$98.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $21.31 / $25.21	Professional		$18.55	$21.31	$25.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $21.94 / $21.94	Facility		$21.94	$21.94	$21.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $30.50 / $91.97	Professional		$30.50	$30.50	$91.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $86.15 / $98.46	Professional		$48.26	$86.15	$98.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $25.21 / $92.55	Facility		$19.03	$25.21	$92.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $33.03 / $38.86	Facility		$23.32	$33.03	$38.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $25.21 / $92.55	Facility		$19.03	$25.21	$92.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $30.50 / $91.97	Professional		$28.09	$30.50	$91.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $42.49 / $54.96	Professional		$31.41	$42.49	$54.96
United Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $28.22 / $61.69	Professional		$22.57	$28.22	$61.69