Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $23.49 / $53.90	Professional		$12.64	$23.49	$53.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $44.93 / $44.93	Facility		$44.93	$44.93	$44.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $29.22 / $43.18	Professional		$8.11	$29.22	$43.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $48.76 / $78.73	Professional		$27.64	$48.76	$78.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $26.81 / $915.12	Facility		$19.62	$26.81	$915.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $27.64 / $37.31	Professional		$17.84	$27.64	$37.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $49.45	Facility		$27.64	$27.64	$49.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $33.17 / $44.93	Facility		$20.73	$33.17	$44.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $30.40 / $39.79	Professional		$20.19	$30.40	$39.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $96.74	Facility		$55.28	$55.28	$96.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $54.44 / $88.64	Professional		$49.08	$54.44	$88.64
United Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $27.64 / $85.97	Professional		$16.57	$27.64	$85.97