Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $37.18 / $3,245.00	Facility		$30.30	$37.18	$3,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $105.70	Professional		$30.23	$30.23	$105.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $43.13 / $60.72	Facility		$28.52	$43.13	$60.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $35.65	Professional		$30.23	$30.23	$35.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $74.15 / $87.08	Professional		$60.24	$74.15	$87.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $36.58 / $77.08	Facility		$30.23	$36.58	$77.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $32.04 / $39.29	Professional		$30.23	$32.04	$39.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $34.79 / $90.69	Facility		$30.23	$34.79	$90.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $38.10 / $69.65	Facility		$30.23	$38.10	$69.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $37.88 / $39.44	Professional		$30.23	$37.88	$39.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $30.23 / $30.23	Professional		$28.72	$30.23	$30.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $34.76	Professional		$30.23	$30.23	$34.76