Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $59.26 / $72.88	Facility		$30.06	$59.26	$72.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $43.38 / $64.95	Professional		$22.10	$43.38	$64.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $98.08	Professional		$35.00	$48.00	$98.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $59.64 / $99.18	Professional		$36.22	$59.64	$99.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $44.03 / $76.88	Facility		$22.97	$44.03	$76.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $61.14 / $92.91	Professional		$37.36	$61.14	$92.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $83.06 / $89.11	Facility		$46.07	$83.06	$89.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $44.02 / $76.88	Facility		$22.97	$44.02	$76.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $51.52 / $99.38	Professional		$29.33	$51.52	$99.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $56.61 / $93.10	Professional		$33.54	$56.61	$93.10
United Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $78.47 / $122.36	Professional		$47.01	$78.47	$122.36