Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $110.28	Facility		$46.87	$46.87	$110.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $79.98	Professional		$45.77	$45.77	$79.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $93.74 / $93.74	Facility		$93.74	$93.74	$93.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $21.31 / $25.52	Professional		$9.57	$21.31	$25.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $60.65 / $98.41	Facility		$17.09	$60.65	$98.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.27 / $94.38	Professional		$11.27	$11.27	$94.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $60.65 / $98.41	Facility		$40.28	$60.65	$98.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $46.87 / $48.28	Professional		$16.82	$46.87	$48.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.72 / $85.04 / $155.24	Facility		$47.72	$85.04	$155.24
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $45.95	Professional		$45.95	$45.95	$45.95