Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $43.81 / $73.54	Facility		$36.74	$43.81	$73.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $37.13 / $76.27	Professional		$36.77	$37.13	$76.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $49.05 / $69.50	Facility		$34.68	$49.05	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $39.89	Professional		$36.77	$36.77	$39.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $80.97 / $93.78	Professional		$36.36	$80.97	$93.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $52.58 / $79.06	Facility		$36.77	$52.58	$79.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $38.97 / $47.80	Professional		$36.77	$38.97	$47.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $45.93 / $76.48	Facility		$36.74	$45.93	$76.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $37.67 / $67.40	Facility		$34.97	$37.67	$67.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $42.13 / $43.40	Professional		$36.77	$42.13	$43.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $55.65 / $120.60	Facility		$31.60	$55.65	$120.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77