Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $39.15 / $62.54	Facility		$31.33	$39.15	$62.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $37.97 / $7,318.50	Professional		$31.27	$37.97	$7,318.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $43.43 / $61.08	Facility		$29.50	$43.43	$61.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $33.93	Professional		$31.27	$31.27	$33.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $68.90 / $80.84	Professional		$30.94	$68.90	$80.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $44.72 / $67.23	Facility		$31.27	$44.72	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $33.15 / $40.65	Professional		$31.27	$33.15	$40.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $35.99 / $93.81	Facility		$31.27	$35.99	$93.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $43.43 / $67.23	Facility		$31.27	$43.43	$67.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $36.88 / $38.36	Professional		$31.27	$36.88	$38.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $35.96 / $87.82	Facility		$29.64	$35.96	$87.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27