Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.12 / $244.00	Professional		$12.39	$19.12	$244.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $19.02 / $19.02	Facility		$19.02	$19.02	$19.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $79.53 / $79.53	Professional		$26.82	$79.53	$79.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $45.83 / $55.16	Professional		$37.71	$45.83	$55.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.59 / $47.87	Facility		$14.79	$19.59	$47.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $26.67 / $34.17	Facility		$16.82	$26.67	$34.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.12 / $45.99	Facility		$14.79	$19.12	$45.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $50.61 / $59.51	Professional		$21.74	$50.61	$59.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $32.77 / $45.48	Professional		$25.99	$32.77	$45.48
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,362.00 / $6,216.00	Facility		$376.00	$4,362.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $33.49 / $48.85	Professional		$23.37	$33.49	$48.85