Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $28.99 / $18,149.04	Facility		$22.06	$28.99	$18,149.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $26.69 / $10,080.00	Professional		$21.30	$26.69	$10,080.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $30.66 / $42.32	Facility		$20.10	$30.66	$42.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $23.12	Professional		$21.31	$21.31	$23.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $48.30 / $57.01	Professional		$21.31	$48.30	$57.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $30.47 / $45.82	Facility		$21.31	$30.47	$45.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $22.97 / $27.70	Professional		$21.31	$22.97	$27.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $26.46 / $63.93	Facility		$21.31	$26.46	$63.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $24.15 / $42.32	Facility		$23.10	$24.15	$42.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $26.13 / $27.88	Professional		$21.31	$26.13	$27.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $24.51 / $66.95	Facility		$21.31	$24.51	$66.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31