Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $41.69 / $100.00	Facility		$40.74	$41.69	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $41.69	Professional		$38.90	$40.74	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $45.71 / $48.98	Professional		$19.05	$45.71	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $81.28 / $100.00	Facility		$23.44	$81.28	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $81.28	Professional		$23.44	$35.48	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.90 / $72.44	Facility		$36.31	$38.90	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $117.49	Facility		$40.74	$54.95	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $79.43	Professional		$33.11	$41.69	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $67.61 / $134.90	Facility		$38.02	$67.61	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $97.72	Facility		$40.74	$40.74	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69