Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $35.65 / $57.36	Facility		$28.52	$35.65	$57.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.97 / $62.36	Professional		$28.68	$28.97	$62.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $40.38 / $57.06	Facility		$27.06	$40.38	$57.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $31.12	Professional		$28.68	$28.68	$31.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $62.51 / $74.90	Professional		$28.07	$62.51	$74.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $41.01 / $61.66	Facility		$28.68	$41.01	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $30.40 / $37.28	Professional		$28.68	$30.40	$37.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $33.01 / $85.56	Facility		$28.52	$33.01	$85.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $40.38 / $61.66	Facility		$28.68	$40.38	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $33.83 / $35.65	Professional		$28.68	$33.83	$35.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $43.43 / $98.21	Facility		$25.62	$43.43	$98.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68