Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $29.54 / $12,936.00	Facility		$23.63	$29.54	$12,936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $23.89 / $34.29	Professional		$23.64	$23.89	$34.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $32.79 / $46.26	Facility		$22.31	$32.79	$46.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $25.66	Professional		$23.65	$23.65	$25.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $51.84 / $61.28	Professional		$23.28	$51.84	$61.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $33.82 / $50.85	Facility		$23.65	$33.82	$50.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $25.07 / $30.75	Professional		$23.65	$25.07	$30.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $23.65 / $49.08	Facility		$22.92	$23.65	$49.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $25.14 / $44.58	Facility		$24.05	$25.14	$44.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $27.86 / $28.96	Professional		$23.65	$27.86	$28.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $35.27 / $79.77	Facility		$21.05	$35.27	$79.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65