Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $933.25 / $2,691.53	Facility		$87.10	$933.25	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $363.08 / $933.25	Professional		$20.42	$363.08	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $79.43	Professional		$20.42	$31.62	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.71 / $66.07	Professional		$22.91	$45.71	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $47.86 / $933.25	Facility		$19.95	$47.86	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $346.74	Professional		$34.67	$52.48	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $51.29 / $100.00	Facility		$37.15	$51.29	$100.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $74.13	Facility		$19.95	$36.31	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $100.00	Professional		$30.90	$51.29	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $75.86	Professional		$28.18	$44.67	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.12 / $79.43	Professional		$13.49	$25.12	$79.43