Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $44.24 / $74.36	Facility		$37.84	$44.24	$74.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $49.59 / $78.53	Professional		$24.35	$49.59	$78.53
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 $29.04 / $50.91 / $85.10	Professional		$29.04	$50.91	$85.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $46.31 / $71.87	Professional		$37.25	$46.31	$71.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $56.27 / $117.55	Facility		$26.17	$56.27	$117.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $51.23 / $95.12	Professional		$30.16	$51.23	$95.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $58.27 / $96.29	Facility		$35.38	$58.27	$96.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $60.18 / $117.55	Facility		$26.17	$60.18	$117.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $55.90 / $84.73	Professional		$34.56	$55.90	$84.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $375.96 / $478.20	Facility		$307.31	$375.96	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $55.60 / $85.28	Professional		$34.96	$55.60	$85.28
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 $45.81 / $66.40 / $99.59	Professional		$45.81	$66.40	$99.59