Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $465.30 / $674.20	Facility		$34.20	$465.30	$674.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $29.88 / $29.88	Professional		$29.88	$29.88	$29.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $61.20 / $61.20	Facility		$61.20	$61.20	$61.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $71.77 / $77.45	Professional		$62.24	$71.77	$77.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $39.60 / $64.23	Facility		$29.88	$39.60	$64.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $39.40 / $65.66	Facility		$34.20	$39.40	$65.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $42.75 / $68.40	Facility		$29.88	$42.75	$68.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $42.75 / $59.85	Professional		$30.60	$42.75	$59.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $34.20 / $34.20	Professional		$34.20	$34.20	$34.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $34.50	Professional		$30.00	$30.00	$34.50