Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $77.62	Facility		$38.02	$44.67	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $72.44	Professional		$16.98	$37.15	$72.44
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 $25.70 / $46.77 / $83.18	Professional		$25.70	$46.77	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $72.44	Professional		$28.84	$45.71	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $44.67 / $102.33	Facility		$22.39	$44.67	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $100.00	Professional		$28.84	$58.88	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $58.88 / $95.50	Facility		$45.71	$58.88	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $46.77 / $104.71	Facility		$23.99	$46.77	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $85.11	Professional		$34.67	$58.88	$85.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $478.63	Facility		$309.03	$398.11	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $83.18	Professional		$33.88	$54.95	$83.18
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 $28.84 / $47.86 / $83.18	Professional		$28.84	$47.86	$83.18