Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $73.76 / $73.76	Facility		$31.35	$73.76	$73.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $30.61 / $52.59	Professional		$29.50	$30.61	$52.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $62.70	Facility		$31.35	$31.35	$62.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Professional		$31.35	$31.35	$31.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $29.23 / $36.11	Professional		$23.84	$29.23	$36.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $32.14 / $65.81	Facility		$17.14	$32.14	$65.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $16.96 / $42.34	Professional		$15.89	$16.96	$42.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.87 / $79,999.20 / $79,999.20	Facility		$27.87	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $32.57 / $65.81	Facility		$20.35	$32.57	$65.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $38.40 / $42.10	Professional		$31.35	$38.40	$42.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $51.68 / $108.68	Facility		$34.38	$51.68	$108.68
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $30.73 / $35.65	Professional		$30.73	$30.73	$35.65