Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $218.78 / $676.08	Facility		$33.88	$218.78	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $30.20	Professional		$28.18	$28.84	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $77.62	Professional		$63.10	$72.44	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $660.69	Facility		$30.20	$46.77	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $33.11	Professional		$28.18	$28.84	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $66.07	Facility		$33.88	$33.88	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $102.33	Facility		$30.20	$42.66	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $79.43	Professional		$30.90	$40.74	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Professional		$30.20	$30.20	$36.31