Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.42 / $62.63 / $69.23	Facility		$57.42	$62.63	$69.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $40.40 / $151.79	Professional		$28.03	$40.40	$151.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $63.96 / $83.59	Professional		$42.92	$63.96	$83.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $62.98 / $70.90	Professional		$50.46	$62.98	$70.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $62.82 / $86.86	Facility		$40.40	$62.82	$86.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $54.78 / $88.07	Professional		$44.30	$54.78	$88.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $54.21 / $58.48	Facility		$41.65	$54.21	$58.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $67.33 / $86.86	Facility		$40.40	$67.33	$86.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $66.23 / $82.79	Professional		$50.84	$66.23	$82.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,393.32 / $1,719.25	Facility		$1,093.73	$1,393.32	$1,719.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $68.92 / $88.12	Professional		$51.66	$68.92	$88.12
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 $43.98 / $60.81 / $89.38	Professional		$43.98	$60.81	$89.38