Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $44.67 / $109.65	Facility		$9.12	$44.67	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $45.71	Professional		$38.02	$44.67	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.99 / $25.70	Professional		$10.00	$23.99	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $66.07	Facility		$11.22	$11.22	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $45.71	Professional		$11.22	$11.22	$45.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $85.11	Facility		$27.54	$27.54	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $60.26 / $114.82	Facility		$40.74	$60.26	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $46.77 / $79.43	Professional		$20.42	$46.77	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $89.13 / $141.25	Facility		$47.86	$89.13	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71