Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $18.23 / $26.65	Professional		$10.74	$18.23	$26.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $32.93 / $32.93	Facility		$32.93	$32.93	$32.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $10.65	Professional		$10.65	$10.65	$10.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $36.14 / $58.36	Professional		$20.26	$36.14	$58.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $27.35 / $1,755.22	Facility		$14.99	$27.35	$1,755.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $27.35 / $40.77	Professional		$20.26	$27.35	$40.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $20.26 / $30.39	Facility		$20.26	$20.26	$30.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $25.73 / $60.89	Facility		$15.20	$25.73	$60.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $22.29 / $31.51	Professional		$10.65	$22.29	$31.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.52 / $40.52 / $70.91	Facility		$40.52	$40.52	$70.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $40.15 / $63.99	Professional		$32.49	$40.15	$63.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $28.36	Professional		$8.51	$8.51	$28.36