Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $161.11 / $6,629.40	Facility		$51.24	$161.11	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $39.00 / $113.42	Professional		$21.55	$39.00	$113.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $67.91 / $120.70	Professional		$37.33	$67.91	$120.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $55.39 / $106.00	Professional		$42.61	$55.39	$106.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.13 / $58.93 / $98.21	Facility		$33.13	$58.93	$98.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $72.06 / $93.03	Professional		$39.04	$72.06	$93.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $81.90 / $89.78	Facility		$43.20	$81.90	$89.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.50 / $62.86 / $113.27	Facility		$33.50	$62.86	$113.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $69.63 / $112.23	Professional		$44.45	$69.63	$112.23
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 $45.32 / $74.61 / $125.07	Professional		$45.32	$74.61	$125.07
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 $63.22 / $87.73 / $136.75	Professional		$63.22	$87.73	$136.75