Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $53.59 / $98.32	Facility		$30.80	$53.59	$98.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $30.80 / $133.62	Professional		$28.61	$30.80	$133.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $35.88 / $44.44	Facility		$26.99	$35.88	$44.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $31.04	Professional		$28.61	$28.61	$31.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $66.51 / $78.15	Professional		$28.61	$66.51	$78.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $40.90 / $210.79	Facility		$28.61	$40.90	$210.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $30.33 / $37.19	Professional		$28.61	$30.33	$37.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $36.44 / $64.06	Facility		$28.61	$36.44	$64.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $40.90 / $83.44	Facility		$28.61	$40.90	$83.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $31.70 / $171.52	Professional		$28.61	$31.70	$171.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $71.34 / $194.49	Facility		$47.34	$71.34	$194.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $32.90	Professional		$28.61	$28.61	$32.90