Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $123.03 / $6,606.93	Facility		$46.77	$123.03	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $77.62 / $354.81	Professional		$24.55	$77.62	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $151.36	Professional		$35.48	$70.79	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $144.54	Professional		$38.02	$60.26	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $60.26 / $190.55	Facility		$25.70	$60.26	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $81.28 / $154.88	Professional		$36.31	$81.28	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $120.23	Facility		$69.18	$114.82	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $57.54 / $125.89	Facility		$28.18	$57.54	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $151.36	Professional		$44.67	$79.43	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $151.36	Professional		$48.98	$79.43	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $151.36	Professional		$38.02	$74.13	$151.36