Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $55.08 / $129.60	Facility		$43.97	$55.08	$129.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $53.78 / $82.79	Professional		$53.78	$53.78	$82.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $19.89 / $23.83	Professional		$8.93	$19.89	$23.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $71.28 / $115.63	Facility		$21.83	$71.28	$115.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $29.49	Professional		$11.11	$11.11	$29.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $79,999.20 / $79,999.20	Facility		$56.74	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $66.92 / $110.16	Facility		$34.90	$66.92	$110.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $41.83 / $79.90	Professional		$19.21	$41.83	$79.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00