Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.92 / $245.30 / $7,920.26	Facility		$56.92	$245.30	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $45.74 / $113.32	Professional		$31.29	$45.74	$113.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $69.40 / $99.46	Professional		$39.50	$69.40	$99.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $60.81 / $67.98	Professional		$45.82	$60.81	$67.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $52.08 / $113.06	Facility		$30.98	$52.08	$113.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $65.72 / $91.25	Professional		$45.90	$65.72	$91.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $67.47 / $109.48	Facility		$46.71	$67.47	$109.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $59.40 / $105.41	Facility		$35.10	$59.40	$105.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $65.98 / $97.27	Professional		$53.76	$65.98	$97.27
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 $52.90 / $56.76 / $90.21	Professional		$52.90	$56.76	$90.21
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 $55.11 / $74.09 / $107.43	Professional		$55.11	$74.09	$107.43