Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $66.33 / $66.33	Facility		$66.33	$66.33	$66.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.25 / $26.89	Professional		$22.91	$26.25	$26.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $43.25 / $43.25	Facility		$43.25	$43.25	$43.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $34.53 / $47.58	Professional		$20.37	$34.53	$47.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $47.04 / $75.97	Professional		$26.61	$47.04	$75.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $27.94 / $2,294.62	Facility		$19.69	$27.94	$2,294.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $31.93 / $53.29	Professional		$26.61	$31.93	$53.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $26.61 / $162.00	Facility		$26.61	$26.61	$162.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $33.65 / $58.54	Facility		$25.01	$33.65	$58.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $33.65 / $42.39	Professional		$29.27	$33.65	$42.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $53.22 / $93.14	Facility		$53.22	$53.22	$93.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $52.40 / $85.44	Professional		$47.28	$52.40	$85.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $21.63 / $82.77	Professional		$15.97	$21.63	$82.77