Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $77.62 / $142.06	Facility		$63.30	$77.62	$142.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $53.82 / $136.53	Professional		$30.57	$53.82	$136.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $80.37 / $150.18	Professional		$47.74	$80.37	$150.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $79.91 / $136.41	Professional		$64.03	$79.91	$136.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $77.81 / $122.36	Facility		$43.77	$77.81	$122.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $86.42 / $127.70	Professional		$52.64	$86.42	$127.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $96.29 / $111.52	Facility		$55.39	$96.29	$111.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $77.81 / $131.69	Facility		$43.77	$77.81	$131.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $90.45 / $145.02	Professional		$59.85	$90.45	$145.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.29 / $117.93	Facility		$58.88	$85.29	$117.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $96.56 / $152.44	Professional		$61.08	$96.56	$152.44
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 $74.97 / $103.35 / $165.00	Professional		$74.97	$103.35	$165.00