Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $46.46 / $72.39	Facility		$39.29	$46.46	$72.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $43.70 / $79.78	Professional		$26.89	$43.70	$79.78
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 $29.55 / $49.42 / $82.60	Professional		$29.55	$49.42	$82.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $47.88 / $70.37	Professional		$38.85	$47.88	$70.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $52.23 / $105.72	Facility		$27.19	$52.23	$105.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $53.32 / $89.06	Professional		$32.42	$53.32	$89.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $57.15 / $83.22	Facility		$37.52	$57.15	$83.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $55.79 / $102.74	Facility		$27.19	$55.79	$102.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $55.44 / $80.88	Professional		$36.34	$55.44	$80.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.90 / $174.91 / $229.07	Facility		$98.90	$174.91	$229.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $55.94 / $83.38	Professional		$36.04	$55.94	$83.38
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 $44.39 / $61.07 / $93.62	Professional		$44.39	$61.07	$93.62