Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $72.28 / $72.28	Facility		$30.72	$72.28	$72.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $30.00 / $31.08	Professional		$28.91	$30.00	$31.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Facility		$61.44	$61.44	$61.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $38.22 / $47.25	Professional		$31.19	$38.22	$47.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $36.14 / $46.79	Facility		$23.64	$36.14	$46.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $31.68 / $35.81	Professional		$17.93	$31.68	$35.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $36.14 / $45.90	Facility		$24.73	$36.14	$45.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $37.50 / $40.50	Professional		$30.72	$37.50	$40.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $54.81 / $70.72	Facility		$31.30	$54.81	$70.72
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $34.50	Professional		$30.00	$30.00	$34.50