Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.25 / $63.25 / $63.25	Facility		$63.25	$63.25	$63.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $23.85 / $36.79	Professional		$18.98	$23.85	$36.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $41.23 / $41.23	Facility		$41.23	$41.23	$41.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $27.70 / $45.23	Professional		$16.43	$27.70	$45.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $44.74 / $72.25	Professional		$25.37	$44.74	$72.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $26.64 / $1,850.70	Facility		$18.77	$26.64	$1,850.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $30.44 / $42.98	Professional		$25.37	$30.44	$42.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $140.47	Facility		$25.37	$25.37	$140.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $32.09 / $55.81	Facility		$23.85	$32.09	$55.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $30.44 / $38.31	Professional		$27.70	$30.44	$38.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $50.74 / $88.80	Facility		$50.74	$50.74	$88.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $49.76 / $81.17	Professional		$44.89	$49.76	$81.17
United Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $25.37 / $78.91	Professional		$15.22	$25.37	$78.91