Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $7,943.28	Facility		$69.18	$87.10	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $85.11	Professional		$30.90	$41.69	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $114.82	Professional		$39.81	$74.13	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $85.11	Professional		$48.98	$63.10	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $66.07 / $120.23	Facility		$40.74	$66.07	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $100.00	Professional		$45.71	$63.10	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $69.18	Facility		$54.95	$66.07	$69.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $104.71	Facility		$38.90	$57.54	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $95.50	Professional		$54.95	$77.62	$95.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $758.58 / $912.01	Facility		$549.54	$758.58	$912.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $93.33	Professional		$64.57	$75.86	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,174.90 / $6,165.95	Facility		$389.05	$1,174.90	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $97.72	Professional		$43.65	$67.61	$97.72