Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $151.36 / $6,606.93	Facility		$60.26	$151.36	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $251.19	Professional		$28.18	$60.26	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $144.54	Professional		$41.69	$75.86	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $138.04	Professional		$42.66	$60.26	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $151.36	Facility		$33.11	$66.07	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $138.04	Professional		$41.69	$83.18	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.71 / $114.82	Facility		$67.61	$104.71	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $63.10 / $117.49	Facility		$33.11	$63.10	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $144.54	Professional		$52.48	$79.43	$144.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $144.54	Professional		$57.54	$79.43	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $134.90	Professional		$42.66	$75.86	$134.90