Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $38.58 / $53.42	Facility		$32.29	$38.58	$53.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $29.38 / $55.53	Professional		$26.71	$29.38	$55.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $50.13 / $60.64	Facility		$25.20	$50.13	$60.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $32.76	Professional		$26.71	$26.71	$32.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $70.98 / $84.30	Professional		$54.22	$70.98	$84.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $47.46 / $79.44	Facility		$26.71	$47.46	$79.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $30.72 / $34.72	Professional		$26.71	$30.72	$34.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $36.06 / $80.13	Facility		$26.71	$36.06	$80.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $38.47 / $79.44	Facility		$26.71	$38.47	$79.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $37.10 / $44.19	Professional		$28.98	$37.10	$44.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $63.92 / $122.86	Facility		$37.00	$63.92	$122.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $29.38	Professional		$26.71	$26.71	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $32.04	Professional		$26.71	$26.71	$32.04