Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $44.24 / $73.54	Facility		$37.15	$44.24	$73.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $43.96 / $73.54	Professional		$25.66	$43.96	$73.54
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 $28.59 / $48.23 / $84.09	Professional		$28.59	$48.23	$84.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $46.88 / $71.54	Professional		$37.71	$46.88	$71.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $53.94 / $105.80	Facility		$25.66	$53.94	$105.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $53.94 / $90.48	Professional		$30.57	$53.94	$90.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $58.04 / $84.50	Facility		$34.97	$58.04	$84.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $55.17 / $102.74	Facility		$25.66	$55.17	$102.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $55.25 / $81.81	Professional		$34.56	$55.25	$81.81
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 $34.83 / $55.60 / $84.33	Professional		$34.83	$55.60	$84.33
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 $45.30 / $63.51 / $94.69	Professional		$45.30	$63.51	$94.69