Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $34.71 / $64.44	Facility		$31.55	$34.71	$64.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $32.54 / $44.24	Professional		$31.55	$32.54	$44.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $30.39 / $64.34	Facility		$30.39	$30.39	$64.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $34.95	Professional		$32.22	$32.22	$34.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $69.61 / $80.62	Professional		$31.26	$69.61	$80.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $46.07 / $73.66	Facility		$27.36	$46.07	$73.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $34.15 / $40.28	Professional		$31.87	$34.15	$40.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $35.72 / $96.66	Facility		$31.55	$35.72	$96.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $64.34 / $111.60	Facility		$30.39	$64.34	$111.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $37.59 / $69.75	Professional		$26.40	$37.59	$69.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22