Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $62.18	Facility		$20.89	$20.89	$62.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $31.39 / $5,714.28	Professional		$25.28	$31.39	$5,714.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $26.28 / $39.50	Facility		$18.05	$26.28	$39.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.77	Professional		$20.41	$20.41	$20.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $46.16 / $53.47	Professional		$20.41	$46.16	$53.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $29.19 / $66.00	Facility		$20.41	$29.19	$66.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $22.45 / $26.53	Professional		$20.41	$22.45	$26.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $23.21 / $61.23	Facility		$20.02	$23.21	$61.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $21.69 / $44.46	Facility		$20.14	$21.69	$44.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $24.79 / $33.09	Professional		$20.41	$24.79	$33.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $22.04 / $55.54	Facility		$20.41	$22.04	$55.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $34.68 / $34.68	Professional		$34.68	$34.68	$34.68