Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $107.15 / $120.23	Facility		$51.29	$107.15	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $109.65	Professional		$39.81	$56.23	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $147.91	Professional		$54.95	$104.71	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $120.23	Professional		$67.61	$89.13	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $120.23	Facility		$51.29	$74.13	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $131.83	Professional		$74.13	$91.20	$131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $100.00	Facility		$74.13	$93.33	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $123.03	Facility		$50.12	$72.44	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $138.04	Professional		$70.79	$97.72	$138.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $134.90	Professional		$95.50	$107.15	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $144.54	Professional		$64.57	$100.00	$144.54