Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $32.10 / $50.40	Facility		$23.50	$32.10	$50.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.21 / $40.89	Professional		$25.20	$26.21	$40.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $42.57 / $49.24	Facility		$23.78	$42.57	$49.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $29.72	Professional		$25.20	$25.20	$29.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $54.76 / $71.31	Professional		$41.09	$54.76	$71.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $36.14 / $70.55	Facility		$23.50	$36.14	$70.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.72 / $33.35	Professional		$25.20	$26.72	$33.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $29.01 / $75.59	Facility		$23.50	$29.01	$75.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $32.64 / $70.55	Facility		$25.20	$32.64	$70.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $31.34 / $34.95	Professional		$25.20	$31.34	$34.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $142.16 / $142.16	Facility		$142.16	$142.16	$142.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $27.72	Professional		$25.20	$25.20	$27.72
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $28.98	Professional		$25.20	$25.20	$28.98