Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.92 / $195.43 / $338.15	Facility		$49.92	$195.43	$338.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $22.92 / $87.00	Professional		$11.91	$22.92	$87.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $47.64 / $57.08	Professional		$15.79	$47.64	$57.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $25.69 / $31.73	Professional		$21.98	$25.69	$31.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $22.87 / $47.31	Facility		$11.91	$22.87	$47.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $26.60 / $37.13	Professional		$18.68	$26.60	$37.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $31.27 / $39.29	Facility		$17.67	$31.27	$39.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $24.89 / $47.31	Facility		$11.92	$24.89	$47.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $25.60 / $36.54	Professional		$19.22	$25.60	$36.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $205.78 / $242.25	Facility		$155.05	$205.78	$242.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $27.81 / $34.11	Professional		$19.68	$27.81	$34.11
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 $14.80 / $27.02 / $38.68	Professional		$14.80	$27.02	$38.68