Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $2,100.80 / $3,833.80	Facility		$25.05	$2,100.80	$3,833.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.27 / $2,265.94	Professional		$27.00	$27.27	$2,265.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $35.94 / $55.70	Facility		$24.65	$35.94	$55.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $28.35	Professional		$27.00	$27.00	$28.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $54.69 / $68.94	Professional		$24.56	$54.69	$68.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $38.61 / $99.45	Facility		$27.00	$38.61	$99.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $28.62 / $35.10	Professional		$27.00	$28.62	$35.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $30.00 / $75.15	Facility		$24.59	$30.00	$75.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $28.46 / $54.36	Facility		$27.23	$28.46	$54.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $32.83 / $45.15	Professional		$27.00	$32.83	$45.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $37.79 / $115.11	Facility		$27.00	$37.79	$115.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00