Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $43.65 / $74.13	Facility		$35.48	$43.65	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.90 / $60.26	Professional		$16.22	$30.90	$60.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $67.61 / $91.20	Professional	50	$47.86	$67.61	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $74.13	Professional		$23.99	$42.66	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $69.18	Professional		$28.84	$44.67	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $39.81 / $70.79	Facility		$21.88	$39.81	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.86 / $72.44	Professional		$27.54	$47.86	$72.44
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $67.61 / $91.20	Professional	50	$47.86	$67.61	$91.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $67.61	Facility		$40.74	$54.95	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $39.81 / $70.79	Facility		$22.91	$39.81	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $79.43	Professional		$33.11	$53.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $602.56	Facility		$380.19	$501.19	$602.56
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $741.31 / $912.01	Facility	50	$562.34	$741.31	$912.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $72.44	Professional		$33.11	$51.29	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $69.18	Professional		$27.54	$43.65	$69.18