Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $2,920.37 / $4,770.04	Facility		$23.93	$2,920.37	$4,770.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $26.01 / $35.38	Professional		$25.76	$26.01	$35.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $31.46 / $53.88	Facility		$20.23	$31.46	$53.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $25.77 / $26.94	Professional		$24.29	$25.77	$26.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $54.07 / $65.76	Professional		$41.64	$54.07	$65.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $27.06 / $80.97	Facility		$23.93	$27.06	$80.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.31 / $33.50	Professional		$25.77	$27.31	$33.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $28.63 / $77.31	Facility		$23.49	$28.63	$77.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $25.77 / $55.41	Facility		$20.10	$25.77	$55.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $29.49 / $32.52	Professional		$25.77	$29.49	$32.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $62.79 / $94.77	Facility		$33.54	$62.79	$94.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $28.35	Professional		$25.77	$25.77	$28.35
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $29.64	Professional		$25.77	$25.77	$29.64