Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.39 / $4,283.46 / $8,728.00	Facility		$36.39	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $23.33 / $52.37	Professional		$14.46	$23.33	$52.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $41.99 / $64.89	Professional		$26.12	$41.99	$64.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $38.97 / $56.61	Professional		$26.61	$38.97	$56.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $35.43 / $64.73	Facility		$21.21	$35.43	$64.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $40.14 / $55.48	Professional		$27.49	$40.14	$55.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $45.25 / $51.59	Facility		$28.50	$45.25	$51.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $35.43 / $64.73	Facility		$21.21	$35.43	$64.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $46.08 / $62.60	Professional		$31.36	$46.08	$62.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $46.61 / $68.22	Professional		$31.72	$46.61	$68.22
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 $35.25 / $48.80 / $76.59	Professional		$35.25	$48.80	$76.59