Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $42.43 / $2,383.66	Facility		$31.18	$42.43	$2,383.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $40.40 / $7,695.60	Professional		$31.09	$40.40	$7,695.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $43.20 / $61.04	Facility		$29.33	$43.20	$61.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $33.72	Professional		$31.09	$31.09	$33.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $68.19 / $80.01	Professional		$30.62	$68.19	$80.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $44.46 / $102.25	Facility		$31.09	$44.46	$102.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $32.96 / $65.47	Professional		$31.09	$32.96	$65.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $40.42 / $86.00	Facility		$31.09	$40.42	$86.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $34.96 / $61.06	Facility		$33.11	$34.96	$61.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.15 / $83.90	Professional		$33.11	$38.15	$83.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $35.75 / $106.56	Facility		$31.09	$35.75	$106.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09