Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $43.58 / $79.23	Facility		$37.19	$43.58	$79.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $39.61 / $47.94	Professional		$33.64	$39.61	$47.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $48.82 / $64.18	Facility		$37.29	$48.82	$64.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $42.90	Professional		$39.54	$39.54	$42.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.41 / $100.38	Professional		$38.90	$85.41	$100.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $56.54 / $97.27	Facility		$39.54	$56.54	$97.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $41.92 / $51.40	Professional		$39.54	$41.92	$51.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $49.53 / $82.24	Facility		$39.54	$49.53	$82.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $56.54 / $95.04	Facility		$37.29	$56.54	$95.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $42.90 / $90.25	Professional		$35.93	$42.90	$90.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54