Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $40.78 / $7,920.26	Facility		$36.28	$40.78	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $19.47 / $60.45	Professional		$13.96	$19.47	$60.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $33.75 / $50.69	Professional		$22.79	$33.75	$50.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $34.84 / $42.38	Professional		$25.69	$34.84	$42.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $25.67 / $45.35	Facility		$19.25	$25.67	$45.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $31.13 / $50.94	Professional		$25.62	$31.13	$50.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $34.35 / $36.85	Facility		$23.22	$34.35	$36.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $27.24 / $47.20	Facility		$19.25	$27.24	$47.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $35.10 / $48.53	Professional		$29.13	$35.10	$48.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $38.31 / $56.46	Professional		$30.13	$38.31	$56.46
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 $23.91 / $35.08 / $56.99	Professional		$23.91	$35.08	$56.99