Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $35.65 / $57.04	Facility		$28.52	$35.65	$57.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $35.08	Professional		$28.52	$28.52	$35.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $26.90 / $65.23	Facility		$26.90	$26.90	$65.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $32.28	Professional		$28.52	$28.52	$32.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $61.61 / $72.41	Professional		$45.13	$61.61	$72.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.80 / $61.32	Facility		$28.52	$28.80	$61.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $33.65 / $37.08	Professional		$28.52	$33.65	$37.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $28.52 / $59.32	Facility		$26.90	$28.52	$59.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $32.61 / $58.75	Facility		$28.52	$32.61	$58.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $39.99 / $41.27	Professional		$28.52	$39.99	$41.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $50.87 / $123.85	Facility		$33.90	$50.87	$123.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $34.22	Professional		$28.52	$28.52	$34.22
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $32.79	Professional		$28.52	$28.52	$32.79