Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $22.25 / $41.42	Professional		$16.17	$22.25	$41.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Facility		$34.18	$34.18	$34.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $23.79 / $37.03	Professional		$12.49	$23.79	$37.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $46.90 / $71.09	Professional		$25.81	$46.90	$71.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $26.53 / $57.04	Facility		$17.66	$26.53	$57.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $47.42 / $85.94	Professional		$34.70	$47.42	$85.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $52.36 / $53.60	Facility		$32.07	$52.36	$53.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $50.34 / $68.89	Facility		$22.25	$50.34	$68.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $48.62 / $68.65	Professional		$27.38	$48.62	$68.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $203.33 / $203.33 / $204.49	Facility		$203.33	$203.33	$204.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $50.40 / $75.80	Professional		$40.95	$50.40	$75.80
United Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $28.47 / $84.32	Professional		$16.67	$28.47	$84.32