Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $41.55 / $41.55	Facility		$41.55	$41.55	$41.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $45.60	Professional		$39.31	$39.31	$45.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $37.09 / $889.48	Facility		$37.09	$37.09	$889.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $46.36	Professional		$39.31	$39.31	$46.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $93.95 / $108.39	Professional		$72.03	$93.95	$108.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $41.55 / $1,254.00	Facility		$39.31	$41.55	$1,254.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $45.21 / $51.10	Professional		$39.31	$45.21	$51.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $41.67 / $117.93	Facility		$39.31	$41.67	$117.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $53.85 / $1,187.50	Facility		$39.31	$53.85	$1,187.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $76.81 / $1,187.50	Professional		$39.31	$76.81	$1,187.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $39.31 / $39.31	Professional		$37.34	$39.31	$39.31
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $45.21	Professional		$39.31	$39.31	$45.21