Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $721.20 / $13,148.62	Facility		$27.99	$721.20	$13,148.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $31.54 / $1,667.49	Professional		$30.32	$31.54	$1,667.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $41.96 / $49.42	Facility		$23.58	$41.96	$49.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $30.32 / $30.32	Professional		$27.12	$30.32	$30.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $61.79 / $71.58	Professional		$27.75	$61.79	$71.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $43.36 / $874.24	Facility		$30.32	$43.36	$874.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $33.35 / $39.42	Professional		$30.32	$33.35	$39.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $30.05 / $61.77	Facility		$27.47	$30.05	$61.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $41.96 / $408.91	Facility		$25.94	$41.96	$408.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $32.90 / $408.91	Professional		$30.32	$32.90	$408.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $317.27 / $862.63	Facility		$57.10	$317.27	$862.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $33.75	Professional		$30.32	$30.32	$33.75