Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $52.20 / $20,576.00	Facility		$30.00	$52.20	$20,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.28 / $63.25	Professional		$29.98	$30.28	$63.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $48.92 / $57.80	Facility		$28.28	$48.92	$57.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $33.94	Professional		$29.98	$29.98	$33.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $66.02 / $82.43	Professional		$50.43	$66.02	$82.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $31.48 / $64.45	Facility		$29.98	$31.48	$64.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $31.78 / $38.97	Professional		$29.98	$31.78	$38.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $35.24 / $89.94	Facility		$29.98	$35.24	$89.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $31.26 / $57.62	Facility		$29.90	$31.26	$57.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $33.38 / $38.18	Professional		$29.98	$33.38	$38.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $37.76 / $95.84	Facility		$25.17	$37.76	$95.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $35.97	Professional		$29.98	$29.98	$35.97
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $34.47	Professional		$29.98	$29.98	$34.47