Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $50.98 / $1,115.52	Facility		$26.21	$50.98	$1,115.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $37.81 / $468.82	Professional		$29.59	$37.81	$468.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $37.95 / $53.96	Facility		$28.31	$37.95	$53.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $32.56	Professional		$30.01	$30.01	$32.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $64.62 / $74.87	Professional		$29.02	$64.62	$74.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $40.59 / $64.52	Facility		$5.32	$40.59	$64.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $33.01 / $39.01	Professional		$30.01	$33.01	$39.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $30.01 / $62.29	Facility		$23.97	$30.01	$62.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $37.95 / $64.52	Facility		$25.20	$37.95	$64.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $30.46 / $33.53	Professional		$5.90	$30.46	$33.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $32.57 / $65.31	Facility		$16.48	$32.57	$65.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01