Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $73.06 / $7,920.26	Facility		$30.82	$73.06	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $28.91 / $66.80	Professional		$12.99	$28.91	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $41.30 / $89.76	Professional		$22.14	$41.30	$89.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $33.46 / $77.63	Professional		$25.68	$33.46	$77.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $37.47 / $71.86	Facility		$20.21	$37.47	$71.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $48.96 / $75.25	Professional		$23.65	$48.96	$75.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $58.49 / $66.33	Facility		$27.37	$58.49	$66.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $40.79 / $84.09	Facility		$20.21	$40.79	$84.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $43.68 / $82.91	Professional		$27.09	$43.68	$82.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $196.41 / $242.25	Facility		$155.05	$196.41	$242.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $46.53 / $92.86	Professional		$27.84	$46.53	$92.86
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 $43.16 / $60.44 / $96.12	Professional		$43.16	$60.44	$96.12