Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $50.97 / $30,697.08	Facility		$41.96	$50.97	$30,697.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $43.67 / $57.65	Professional		$41.97	$43.67	$57.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $70.09 / $82.48	Facility		$39.61	$70.09	$82.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $45.55	Professional		$41.98	$41.98	$45.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $92.32 / $108.94	Professional		$41.46	$92.32	$108.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $60.03 / $90.26	Facility		$41.98	$60.03	$90.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $44.50 / $54.57	Professional		$41.98	$44.50	$54.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $48.32 / $87.32	Facility		$41.96	$48.32	$87.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $44.07 / $78.42	Facility		$40.69	$44.07	$78.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $49.01 / $51.60	Professional		$41.98	$49.01	$51.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $45.34 / $115.66	Facility		$37.94	$45.34	$115.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98
United Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98