Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $52.36 / $91.20	Facility		$38.76	$52.36	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $37.85 / $45.60	Professional		$36.47	$37.85	$45.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $77.52	Facility		$38.76	$38.76	$77.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $40.28 / $81.38	Facility		$37.85	$40.28	$81.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $35.47 / $40.28	Professional		$30.02	$35.47	$40.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $79,999.20 / $79,999.20	Facility		$50.88	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $41.64 / $77.97	Facility		$37.85	$41.64	$77.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $47.50 / $53.52	Professional		$38.76	$47.50	$53.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $65.05 / $130.43	Facility		$38.67	$65.05	$130.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $43.70	Professional		$38.00	$38.00	$43.70