Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $39.35	Professional		$33.92	$33.92	$39.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $67.84	Facility		$32.00	$32.00	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $40.00	Professional		$33.92	$33.92	$40.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $77.08 / $88.93	Professional		$59.08	$77.08	$88.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $72.59	Facility		$33.92	$33.92	$72.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $35.96 / $44.10	Professional		$33.92	$35.96	$44.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $37.31 / $70.55	Facility		$32.00	$37.31	$70.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $36.46 / $67.84	Facility		$33.92	$36.46	$67.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $37.10 / $42.40	Professional		$33.92	$37.10	$42.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $33.92 / $33.92	Professional		$32.22	$33.92	$33.92
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $39.01	Professional		$33.92	$33.92	$39.01