Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $37.22 / $37.22	Facility		$37.22	$37.22	$37.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $32.53 / $130.12	Professional		$32.53	$32.53	$130.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $66.62 / $66.62	Facility		$66.62	$66.62	$66.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $113.19 / $123.19	Professional		$94.71	$113.19	$123.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $43.11 / $69.94	Facility		$32.53	$43.11	$69.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $46.54 / $74.45	Facility		$32.53	$46.54	$74.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $46.54 / $191.96	Professional		$33.31	$46.54	$191.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $37.22 / $37.22	Professional		$37.22	$37.22	$37.22
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $37.56	Professional		$32.65	$32.65	$37.56