Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $37.68 / $80.75	Facility		$31.40	$37.68	$80.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $40.19 / $83.26	Professional		$30.77	$40.19	$83.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $62.52 / $62.52	Facility		$62.52	$62.52	$62.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Professional		$32.76	$32.76	$32.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $69.61 / $80.84	Professional		$31.26	$69.61	$80.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $45.29 / $68.09	Facility		$31.67	$45.29	$68.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $33.57 / $17,728.12	Professional		$30.45	$33.57	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $33.57 / $65.73	Facility		$28.50	$33.57	$65.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.11 / $45.29 / $91.08	Facility		$29.11	$45.29	$91.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $33.90 / $49.86	Professional		$30.70	$33.90	$49.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $90.74 / $120.21	Facility		$47.86	$90.74	$120.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $31.47 / $31.47	Professional		$31.47	$31.47	$31.47
United Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $35.11 / $35.11	Professional		$33.06	$35.11	$35.11