Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $65.31 / $80.63	Professional		$43.82	$65.31	$80.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $93.02 / $111.44	Professional		$88.63	$93.02	$111.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $168.51 / $197.22	Professional		$145.62	$168.51	$197.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $72.91 / $140.76	Facility		$57.01	$72.91	$140.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $91.42 / $91.42	Professional		$91.42	$91.42	$91.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.15 / $70.41 / $130.65	Facility		$57.15	$70.41	$130.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.08 / $71.75 / $142.60	Facility		$58.08	$71.75	$142.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $134.72 / $157.13	Professional		$82.90	$134.72	$157.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $119.60 / $152.37	Facility		$93.54	$119.60	$152.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $123.34 / $175.50	Professional		$75.34	$123.34	$175.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $94.43 / $194.80	Professional		$69.16	$94.43	$194.80