Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.30 / $43.65	Facility		$17.78	$26.30	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $3,890.45	Professional		$16.98	$19.05	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $35.48	Facility		$16.98	$25.70	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $19.50	Professional		$17.78	$17.78	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.90 / $45.71	Professional		$17.78	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.05 / $35.48	Facility		$17.78	$19.05	$35.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $33.88	Professional		$17.78	$19.05	$33.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $31.62	Facility		$18.20	$18.20	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.70 / $53.70	Facility		$17.78	$25.70	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $79.43	Professional		$17.38	$19.50	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.92 / $60.26	Facility		$17.78	$26.92	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78