Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $121.15 / $14,827.43	Facility		$31.18	$121.15	$14,827.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $31.49 / $5,423.00	Professional		$29.37	$31.49	$5,423.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $46.87 / $69.52	Facility		$23.70	$46.87	$69.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $29.38 / $29.38	Professional		$27.26	$29.38	$29.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $68.19 / $83.39	Professional		$29.38	$68.19	$83.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $42.01 / $227.06	Facility		$29.38	$42.01	$227.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $32.32 / $38.19	Professional		$29.38	$32.32	$38.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $34.64 / $88.14	Facility		$28.83	$34.64	$88.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $31.92 / $67.18	Facility		$29.95	$31.92	$67.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $39.79 / $50.87	Professional		$29.38	$39.79	$50.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $78.00 / $145.33	Facility		$43.77	$78.00	$145.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $47.37	Professional		$42.55	$42.55	$47.37