Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $67.44 / $67.44	Facility		$67.44	$67.44	$67.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $22.99 / $25.43	Professional		$19.48	$22.99	$25.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $43.95 / $43.95	Facility		$43.95	$43.95	$43.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $48.18 / $77.81	Professional		$27.05	$48.18	$77.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $36.52 / $1,755.22	Facility		$20.02	$36.52	$1,755.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $34.21 / $40.77	Professional		$27.05	$34.21	$40.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $27.05 / $40.58	Facility		$27.05	$27.05	$40.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $34.22 / $60.89	Facility		$20.29	$34.22	$60.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $29.76 / $38.90	Professional		$14.22	$29.76	$38.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $54.10 / $94.68	Facility		$54.10	$54.10	$94.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $53.08 / $85.26	Professional		$43.32	$53.08	$85.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $37.86	Professional		$11.36	$11.36	$37.86