Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $505.83 / $7,920.26	Facility		$63.45	$505.83	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $60.07 / $156.43	Professional		$31.30	$60.07	$156.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $83.59 / $242.17	Professional		$45.21	$83.59	$242.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $67.01 / $209.46	Professional		$50.56	$67.01	$209.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.92 / $86.59 / $177.25	Facility		$36.92	$86.59	$177.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $98.94 / $192.27	Professional		$44.83	$98.94	$192.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.29 / $118.25 / $175.42	Facility		$68.29	$118.25	$175.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $97.19 / $230.83	Facility		$38.32	$97.19	$230.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $92.84 / $224.93	Professional		$53.34	$92.84	$224.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $96.78 / $254.88	Professional		$54.38	$96.78	$254.88
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 $104.21 / $147.85 / $238.77	Professional		$104.21	$147.85	$238.77