Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $64.27 / $120.02	Facility		$36.00	$64.27	$120.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $39.00 / $92.80	Professional		$30.35	$39.00	$92.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $66.28 / $66.28	Facility		$66.28	$66.28	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $33.14 / $33.14	Professional		$33.14	$33.14	$33.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $45.45 / $54.46	Professional		$20.41	$45.45	$54.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $38.57 / $67.08	Facility		$31.20	$38.57	$67.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $29.59 / $38.85	Professional		$29.59	$29.59	$38.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $42.28 / $42.88	Facility		$25.00	$42.28	$42.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $44.62 / $85.25	Facility		$30.82	$44.62	$85.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $33.14 / $54.40	Professional		$30.82	$33.14	$54.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $31.55 / $31.55	Professional		$31.55	$31.55	$31.55
United Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $35.70 / $35.99	Professional		$29.99	$35.70	$35.99