Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $27.31 / $27.31	Facility		$27.31	$27.31	$27.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $27.31	Professional		$26.62	$26.62	$27.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.65 / $52.62	Facility		$25.12	$40.65	$52.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $28.88	Professional		$26.62	$26.62	$28.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $59.66 / $75.73	Professional		$26.62	$59.66	$75.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $38.07 / $57.23	Facility		$26.62	$38.07	$57.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $28.22 / $33.28	Professional		$26.62	$28.22	$33.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $26.63 / $55.37	Facility		$21.82	$26.63	$55.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.65 / $85.01	Facility		$25.12	$40.65	$85.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $28.89 / $35.90	Professional		$26.62	$28.89	$35.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $31.94	Professional		$26.62	$26.62	$31.94