Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $80.63 / $160.97	Facility		$65.56	$80.63	$160.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $61.11 / $166.11	Professional		$31.17	$61.11	$166.11
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 $51.03 / $91.05 / $172.46	Professional		$51.03	$91.05	$172.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $85.79 / $163.90	Professional		$68.13	$85.79	$163.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $87.83 / $148.50	Facility		$45.65	$87.83	$148.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $102.00 / $152.80	Professional		$55.80	$102.00	$152.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $108.54 / $130.65	Facility		$64.98	$108.54	$130.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $87.83 / $155.52	Facility		$45.65	$87.83	$155.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $99.67 / $162.99	Professional		$61.85	$99.67	$162.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $647.77 / $819.80 / $1,030.29	Facility		$647.77	$819.80	$1,030.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $104.45 / $171.06	Professional		$63.45	$104.45	$171.06
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $124.60 / $191.96	Professional		$89.00	$124.60	$191.96