Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $48.90 / $64.95	Facility		$24.45	$48.90	$64.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $29.84 / $42.05	Professional		$24.69	$29.84	$42.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $50.84 / $52.11	Facility		$28.15	$50.84	$52.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $32.38	Professional		$29.84	$29.84	$32.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $53.98 / $80.84	Professional		$24.24	$53.98	$80.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $42.67 / $97.82	Facility		$29.84	$42.67	$97.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $31.63 / $38.79	Professional		$29.84	$31.63	$38.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $30.97 / $62.07	Facility		$24.45	$30.97	$62.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $33.29 / $90.81	Facility		$31.85	$33.29	$90.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $36.60 / $62.46	Professional		$29.84	$36.60	$62.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.89 / $91.34 / $187.66	Facility		$60.89	$91.34	$187.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84