Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $42.28 / $69.90	Facility		$35.86	$42.28	$69.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $32.07 / $61.30	Professional		$20.44	$32.07	$61.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.35 / $67.31 / $91.95	Professional	50	$48.35	$67.31	$91.95
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 $27.35 / $44.76 / $75.54	Professional		$27.35	$44.76	$75.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $44.65 / $68.68	Professional		$36.06	$44.65	$68.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $47.87 / $77.04	Facility		$24.65	$47.87	$77.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $48.00 / $69.30	Professional		$29.58	$48.00	$69.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $53.22 / $70.09	Facility		$33.65	$53.22	$70.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $49.84 / $77.04	Facility		$24.65	$49.84	$77.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $50.84 / $73.59	Professional		$33.28	$50.84	$73.59
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 Facility Modifier 50 Low / Median / High Price $565.44 / $747.12 / $886.47	Facility	50	$565.44	$747.12	$886.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $51.66 / $77.68	Professional		$33.65	$51.66	$77.68
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 $41.80 / $57.99 / $87.22	Professional		$41.80	$57.99	$87.22