Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $35.00 / $58.58	Facility		$28.70	$35.00	$58.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $30.47 / $40.22	Professional		$29.29	$30.47	$40.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $47.90 / $57.84	Facility		$27.63	$47.90	$57.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $33.44	Professional		$29.29	$29.29	$33.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $63.22 / $80.59	Professional		$50.08	$63.22	$80.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $30.75 / $62.97	Facility		$28.70	$30.75	$62.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $31.05 / $38.08	Professional		$29.29	$31.05	$38.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $33.71 / $87.87	Facility		$28.70	$33.71	$87.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $30.64 / $62.23	Facility		$29.29	$30.64	$62.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $33.89 / $37.29	Professional		$29.29	$33.89	$37.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $41.12 / $98.32	Facility		$27.45	$41.12	$98.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $35.15	Professional		$29.29	$29.29	$35.15
United Facility/Professional Facility Modifier Low / Median / High Price $60.04 / $60.04 / $70.30	Facility		$60.04	$60.04	$70.30
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $33.68	Professional		$29.29	$29.29	$33.68