Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $83.32	Facility		$35.40	$35.40	$83.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $34.58 / $35.40	Professional		$34.58	$34.58	$35.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.81 / $70.81 / $70.81	Facility		$70.81	$70.81	$70.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $6.39 / $7.66	Professional		$2.87	$6.39	$7.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $45.83 / $74.34	Facility		$8.11	$45.83	$74.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.26 / $17,728.12	Professional		$4.03	$4.26	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $45.83 / $74.34	Facility		$34.58	$45.83	$74.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $35.40 / $43.40	Professional		$6.17	$35.40	$43.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $9.00 / $11.78	Facility		$5.53	$9.00	$11.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $50.26 / $50.26	Professional		$50.26	$50.26	$50.26
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72