Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $65.04	Facility		$27.64	$27.64	$65.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $26.99 / $27.64	Professional		$26.99	$26.99	$27.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $45.45 / $54.46	Professional		$20.41	$45.45	$54.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $35.77 / $58.03	Facility		$26.99	$35.77	$58.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $41.86 / $44.95	Professional		$41.86	$41.86	$44.95
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 $28.27 / $38.60 / $76.04	Facility		$28.27	$38.60	$76.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $32.11 / $54.40	Professional		$27.64	$32.11	$54.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $64.03 / $88.54	Facility		$33.44	$64.03	$88.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Professional		$27.10	$27.10	$27.10