Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $3,472.00 / $8,525.98	Facility		$31.08	$3,472.00	$8,525.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $32.34 / $6,000.00	Professional		$25.98	$32.34	$6,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $13.88 / $31.82	Facility		$13.88	$13.88	$31.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $20.29	Professional		$19.98	$19.98	$20.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $42.71 / $50.18	Professional		$19.46	$42.71	$50.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $28.59 / $124.91	Facility		$19.98	$28.59	$124.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $21.99 / $41.50	Professional		$19.98	$21.99	$41.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $22.21 / $59.04	Facility		$19.30	$22.21	$59.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $12.62 / $31.09	Facility		$10.64	$12.62	$31.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $17.41 / $23.58	Professional		$14.44	$17.41	$23.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $33.26 / $70.70	Facility		$19.98	$33.26	$70.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Professional		$19.98	$19.98	$19.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $40.09 / $46.10	Professional		$40.09	$40.09	$46.10