Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $42.46	Facility		$21.23	$21.23	$42.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $24.80 / $116.77	Professional		$21.23	$24.80	$116.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $46.87 / $56.18	Professional		$21.05	$46.87	$56.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $30.36 / $54.78	Facility		$21.23	$30.36	$54.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $24.42 / $29.43	Professional		$21.23	$24.42	$29.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $33.97 / $79,999.20	Facility		$21.23	$33.97	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $30.36 / $56.42	Facility		$26.54	$30.36	$56.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $26.54 / $28.21	Professional		$23.03	$26.54	$28.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $33.97 / $77.54	Facility		$22.49	$33.97	$77.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23