Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Facility		$30.70	$30.70	$30.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $34.70	Professional		$29.91	$29.91	$34.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $43.29 / $48.94	Facility		$28.22	$43.29	$48.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $33.86	Professional		$29.91	$29.91	$33.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $74.94 / $87.99	Professional		$60.89	$74.94	$87.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $30.70 / $64.01	Facility		$29.91	$30.70	$64.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $31.71 / $37.39	Professional		$29.91	$31.71	$37.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $30.87 / $62.21	Facility		$29.91	$30.87	$62.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $35.89 / $61.40	Facility		$29.91	$35.89	$61.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $38.13 / $38.38	Professional		$29.91	$38.13	$38.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $29.91 / $29.91	Professional		$28.41	$29.91	$29.91
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $34.40	Professional		$29.91	$29.91	$34.40