Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $102.33	Facility		$41.69	$42.66	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $42.66	Professional		$39.81	$41.69	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $16.98 / $17.78	Professional		$6.92	$16.98	$17.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $60.26 / $91.20	Facility		$10.47	$60.26	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $39.81 / $72.44	Professional		$8.51	$39.81	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $53.70	Facility		$38.90	$48.98	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $60.26 / $154.88	Facility		$41.69	$60.26	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $79.43	Professional		$20.89	$42.66	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $109.65	Facility		$45.71	$53.70	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $87.10	Facility		$36.31	$36.31	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $48.98	Professional		$42.66	$42.66	$48.98