Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $107.15 / $630.96	Facility		$57.54	$107.15	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $117.49	Professional		$28.18	$50.12	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $104.71	Professional		$36.31	$64.57	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $112.20	Professional		$47.86	$74.13	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.23 / $100.00	Facility		$32.36	$56.23	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $107.15	Professional		$42.66	$66.07	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $85.11	Facility		$56.23	$77.62	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $53.70 / $87.10	Facility		$31.62	$53.70	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $104.71	Professional		$50.12	$74.13	$104.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $354.81 / $478.63	Facility		$173.78	$354.81	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $107.15	Professional		$52.48	$74.13	$107.15
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 $41.69 / $66.07 / $102.33	Professional		$41.69	$66.07	$102.33