Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $98.84 / $588.52	Facility		$57.38	$98.84	$588.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $45.69 / $150.65	Professional		$25.62	$45.69	$150.65
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 $41.02 / $69.88 / $112.63	Professional		$41.02	$69.88	$112.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $74.02 / $104.60	Professional		$59.46	$74.02	$104.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $59.60 / $91.33	Facility		$39.56	$59.60	$91.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $68.44 / $98.82	Professional		$47.84	$68.44	$98.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $75.98 / $85.76	Facility		$48.14	$75.98	$85.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $59.90 / $100.30	Facility		$39.56	$59.90	$100.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $76.30 / $108.36	Professional		$53.95	$76.30	$108.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.04 / $353.32 / $478.20	Facility		$174.04	$353.32	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $79.70 / $114.63	Professional		$54.12	$79.70	$114.63
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 $56.65 / $82.61 / $130.54	Professional		$56.65	$82.61	$130.54