Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $256.02 / $591.38	Facility		$41.20	$256.02	$591.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $42.29 / $110.17	Professional		$40.65	$42.29	$110.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $58.88 / $85.00	Facility		$38.35	$58.88	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $47.81	Professional		$40.65	$40.65	$47.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $95.25 / $119.48	Professional		$81.38	$95.25	$119.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $52.84 / $85.85	Facility		$40.65	$52.84	$85.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $43.09 / $52.85	Professional		$40.65	$43.09	$52.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $46.64 / $121.95	Facility		$40.65	$46.64	$121.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $52.01 / $85.34	Facility		$40.65	$52.01	$85.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $51.15 / $53.34	Professional		$40.65	$51.15	$53.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $46.75	Professional		$40.65	$40.65	$46.75