Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $68.42 / $219.20	Facility		$29.10	$68.42	$219.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $31.02 / $81.92	Professional		$13.83	$31.02	$81.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $43.01 / $74.09	Professional		$24.36	$43.01	$74.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $37.65 / $66.93	Professional		$27.57	$37.65	$66.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $36.45 / $76.36	Facility		$14.50	$36.45	$76.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $43.76 / $70.59	Professional		$23.48	$43.76	$70.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $53.71 / $59.63	Facility		$29.25	$53.71	$59.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $29.87 / $73.70	Facility		$10.62	$29.87	$73.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $45.89 / $79.06	Professional		$28.16	$45.89	$79.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $38.72 / $72.16	Professional		$16.03	$38.72	$72.16
United Facility/Professional Facility Modifier Low / Median / High Price $391.83 / $3,290.00 / $6,216.00	Facility		$391.83	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $59.58 / $87.25	Professional		$43.86	$59.58	$87.25