Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $2,555.51 / $7,943.76	Facility		$31.49	$2,555.51	$7,943.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $52.71 / $2,796.00	Professional		$29.37	$52.71	$2,796.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $46.96 / $55.62	Facility		$27.66	$46.96	$55.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $31.87	Professional		$29.38	$29.38	$31.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $63.91 / $74.04	Professional		$28.70	$63.91	$74.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $42.01 / $63.17	Facility		$29.38	$42.01	$63.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $31.14 / $38.19	Professional		$29.38	$31.14	$38.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $36.54 / $61.11	Facility		$29.23	$36.54	$61.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $29.24 / $46.96	Facility		$25.14	$29.24	$46.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $31.87 / $34.58	Professional		$16.62	$31.87	$34.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.38 / $33.39 / $78.45	Facility		$25.38	$33.39	$78.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
United Facility/Professional Facility Modifier Low / Median / High Price $60.23 / $60.23 / $70.51	Facility		$60.23	$60.23	$70.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $32.71	Professional		$29.38	$29.38	$32.71