Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $37.53 / $86.82	Facility		$30.53	$37.53	$86.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $43.41 / $102.00	Professional		$34.11	$43.41	$102.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $70.84 / $100.14	Facility		$40.95	$70.84	$100.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $47.10	Professional		$43.41	$43.41	$47.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $74.58 / $131.91	Professional		$33.49	$74.58	$131.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $62.08 / $93.33	Facility		$29.40	$62.08	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $46.02 / $54.26	Professional		$43.41	$46.02	$54.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $48.61 / $90.29	Facility		$34.11	$48.61	$90.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $62.08 / $100.14	Facility		$30.78	$62.08	$100.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $47.09 / $62.59	Professional		$20.17	$47.09	$62.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41