Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $33.72	Facility		$33.72	$33.72	$33.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $33.51 / $58.50	Professional		$21.53	$33.51	$58.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $250.00 / $250.00	Facility		$38.15	$250.00	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $47.22 / $68.84	Professional		$23.42	$47.22	$68.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $47.83 / $60.74	Professional		$33.47	$47.83	$60.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $33.72 / $47.84	Facility		$22.12	$33.72	$47.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $42.46 / $73.68	Professional		$27.17	$42.46	$73.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $47.69 / $50.92	Facility		$30.55	$47.69	$50.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $33.72 / $54.34	Facility		$22.12	$33.72	$54.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $42.75 / $64.28	Professional		$24.68	$42.75	$64.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $47.49 / $64.38	Professional		$32.72	$47.49	$64.38
United Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $52.44 / $79.81	Professional		$38.76	$52.44	$79.81