Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $44.67	Professional		$25.70	$33.88	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $58.88	Professional		$46.77	$48.98	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $97.72	Professional		$67.61	$77.62	$97.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $77.62	Facility		$30.90	$40.74	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $56.23	Professional		$28.18	$33.88	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.88 / $36.31	Facility		$27.54	$33.88	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $75.86	Facility		$30.20	$40.74	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $79.43	Professional		$54.95	$75.86	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $97.72	Professional		$44.67	$66.07	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $93.33	Professional		$39.81	$60.26	$93.33