Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.89 / $630.50 / $6,629.40	Facility		$51.89	$630.50	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $31.50 / $106.87	Professional		$15.57	$31.50	$106.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $62.85 / $105.85	Professional		$38.92	$62.85	$105.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $57.27 / $92.38	Professional		$40.06	$57.27	$92.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $56.77 / $97.20	Facility		$32.49	$56.77	$97.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $63.51 / $90.45	Professional		$40.70	$63.51	$90.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $70.62 / $81.06	Facility		$40.95	$70.62	$81.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $57.81 / $102.11	Facility		$32.49	$57.81	$102.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $71.40 / $101.10	Professional		$48.00	$71.40	$101.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $73.19 / $112.75	Professional		$48.55	$73.19	$112.75
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $78.55 / $123.01	Professional		$55.93	$78.55	$123.01