Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.54 / $300.20 / $7,920.26	Facility		$51.54	$300.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $58.28 / $312.00	Professional		$24.82	$58.28	$312.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $74.79 / $162.19	Professional		$41.12	$74.79	$162.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $59.64 / $139.27	Professional		$45.13	$59.64	$139.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $63.91 / $132.68	Facility		$32.52	$63.91	$132.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $95.01 / $153.21	Professional		$41.79	$95.01	$153.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $109.26 / $119.93	Facility		$42.49	$109.26	$119.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $76.76 / $152.74	Facility		$32.52	$76.76	$152.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $80.18 / $151.69	Professional		$47.63	$80.18	$151.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $81.77 / $168.66	Professional		$49.20	$81.77	$168.66
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 $83.04 / $113.51 / $177.77	Professional		$83.04	$113.51	$177.77