Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $69.51 / $108.86	Facility		$56.78	$69.51	$108.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $45.09 / $115.77	Professional		$27.82	$45.09	$115.77
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 $42.72 / $71.42 / $116.39	Professional		$42.72	$71.42	$116.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $71.19 / $107.11	Professional		$57.71	$71.19	$107.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $65.66 / $106.24	Facility		$39.29	$65.66	$106.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $72.50 / $101.63	Professional		$46.99	$72.50	$101.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $82.41 / $87.77	Facility		$50.25	$82.41	$87.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $66.06 / $108.98	Facility		$39.29	$66.06	$108.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.90 / $110.83	Professional		$52.48	$77.90	$110.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.96 / $498.08 / $590.98	Facility		$376.96	$498.08	$590.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $79.59 / $117.96	Professional		$53.09	$79.59	$117.96
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 $62.73 / $91.02 / $131.58	Professional		$62.73	$91.02	$131.58