Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $48.00 / $20,739.43	Facility		$24.13	$48.00	$20,739.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.37 / $7,458.00	Professional		$24.00	$24.37	$7,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $33.79 / $48.74	Facility		$22.64	$33.79	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $26.03	Professional		$24.00	$24.00	$26.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $53.27 / $62.98	Professional		$23.92	$53.27	$62.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $34.32 / $51.60	Facility		$16.57	$34.32	$51.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $25.44 / $31.20	Professional		$24.00	$25.44	$31.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $30.00 / $72.00	Facility		$24.00	$30.00	$72.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $25.91 / $39.07	Facility		$25.07	$25.91	$39.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $26.04 / $30.19	Professional		$15.33	$26.04	$30.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.07 / $36.26 / $87.17	Facility		$24.07	$36.26	$87.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00