Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $63.79 / $19,086.41	Facility		$36.65	$63.79	$19,086.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $36.65 / $179.42	Professional		$34.04	$36.65	$179.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $76.39 / $79.09	Facility		$32.11	$76.39	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $36.94	Professional		$34.04	$34.04	$36.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $80.25 / $118.29	Professional		$34.04	$80.25	$118.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $48.69 / $73.20	Facility		$34.04	$48.69	$73.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $36.09 / $44.27	Professional		$34.04	$36.09	$44.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $44.27 / $102.15	Facility		$34.04	$44.27	$102.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $53.09 / $76.39	Facility		$46.68	$53.09	$76.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $48.81 / $63.95	Professional		$36.94	$48.81	$63.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.98 / $102.94 / $197.88	Facility		$58.98	$102.94	$197.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04