Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $49.22 / $74.33	Facility		$39.29	$49.22	$74.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $43.67 / $74.33	Professional		$26.65	$43.67	$74.33
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 $30.65 / $50.78 / $80.72	Professional		$30.65	$50.78	$80.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $50.32 / $71.75	Professional		$40.72	$50.32	$71.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $52.88 / $103.04	Facility		$27.19	$52.88	$103.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $51.82 / $85.76	Professional		$33.39	$51.82	$85.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $58.24 / $80.94	Facility		$37.52	$58.24	$80.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $53.94 / $102.93	Facility		$27.19	$53.94	$102.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $55.68 / $81.78	Professional		$37.29	$55.68	$81.78
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 $37.45 / $56.51 / $84.33	Professional		$37.45	$56.51	$84.33
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $63.01 / $94.90	Professional		$45.42	$63.01	$94.90