Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $194.98 / $5,011.87	Facility		$72.44	$194.98	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $93.33 / $338.84	Professional		$33.88	$93.33	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $223.87	Professional		$53.70	$97.72	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $213.80	Professional		$63.10	$89.13	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $100.00 / $302.00	Facility		$43.65	$100.00	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $208.93	Professional		$60.26	$109.65	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $173.78	Facility		$97.72	$151.36	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $87.10 / $181.97	Facility		$41.69	$87.10	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $218.78	Professional		$63.10	$93.33	$218.78
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 $67.61 / $117.49 / $218.78	Professional		$67.61	$117.49	$218.78
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 $52.48 / $97.72 / $208.93	Professional		$52.48	$97.72	$208.93