Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $162.18 / $4,786.30	Facility		$32.36	$162.18	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $46.77 / $177.83	Professional		$14.79	$46.77	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $57.54 / $181.97	Professional		$21.38	$57.54	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $169.82	Professional		$24.55	$35.48	$169.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $66.07 / $218.78	Facility		$19.95	$66.07	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $77.62 / $165.96	Professional		$23.99	$77.62	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $144.54	Facility		$53.70	$114.82	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $52.48 / $131.83	Facility		$18.62	$52.48	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $79.43 / $177.83	Professional		$28.18	$79.43	$177.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $177.83	Professional		$29.51	$53.70	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $50.12 / $154.88	Professional		$23.44	$50.12	$154.88