Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $53.70 / $89.13	Facility		$37.15	$53.70	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $47.86	Professional		$36.31	$37.15	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $48.98 / $69.18	Facility		$34.67	$48.98	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $39.81	Professional		$37.15	$37.15	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $79.43 / $93.33	Professional		$36.31	$79.43	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.90 / $74.13	Facility		$37.15	$38.90	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $47.86	Professional		$37.15	$38.90	$47.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $75.86	Facility		$37.15	$45.71	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.02 / $69.18	Facility		$37.15	$38.02	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $79.43	Professional		$36.31	$39.81	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $61.66 / $107.15	Facility		$31.62	$61.66	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $89.13	Facility		$37.15	$37.15	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15