Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $27.34 / $48.25	Facility		$22.94	$27.34	$48.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $25.77 / $53.71	Professional		$14.53	$25.77	$53.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
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 $17.75 / $31.51 / $53.59	Professional		$17.75	$31.51	$53.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $28.30 / $47.83	Professional		$22.87	$28.30	$47.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $33.90 / $66.16	Facility		$15.77	$33.90	$66.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $34.15 / $62.58	Professional		$18.67	$34.15	$62.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $36.84 / $58.96	Facility		$22.11	$36.84	$58.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $35.96 / $66.16	Facility		$15.77	$35.96	$66.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $35.20 / $53.26	Professional		$21.12	$35.20	$53.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $196.41 / $242.25	Facility		$155.05	$196.41	$242.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $35.06 / $54.01	Professional		$21.36	$35.06	$54.01
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 $29.02 / $39.42 / $61.59	Professional		$29.02	$39.42	$61.59