Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $55.98 / $9,803.16	Facility		$28.62	$55.98	$9,803.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $31.09 / $11,781.00	Professional		$27.99	$31.09	$11,781.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $23.67 / $49.86	Facility		$18.97	$23.67	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $27.99 / $27.99	Professional		$25.68	$27.99	$27.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $60.19 / $72.41	Professional		$42.02	$60.19	$72.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.83 / $91.33	Facility		$27.99	$28.83	$91.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $30.79 / $36.39	Professional		$27.99	$30.79	$36.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $31.62 / $85.86	Facility		$27.47	$31.62	$85.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $27.99 / $60.18	Facility		$15.12	$27.99	$60.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $24.53 / $33.49	Professional		$23.00	$24.53	$33.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $68.22 / $124.74	Facility		$25.47	$68.22	$124.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $33.59	Professional		$27.99	$27.99	$33.59
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $32.19	Professional		$27.99	$27.99	$32.19