Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $83.44 / $7,920.26	Facility		$67.31	$83.44	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $41.60 / $89.64	Professional		$30.03	$41.60	$89.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
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 $41.51 / $63.36 / $102.96	Professional		$41.51	$63.36	$102.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $79.39 / $97.50	Professional		$55.35	$79.39	$97.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.33 / $64.73 / $99.60	Facility		$39.33	$64.73	$99.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $67.86 / $108.21	Professional		$54.45	$67.86	$108.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $77.26 / $83.08	Facility		$52.89	$77.26	$83.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $70.22 / $105.55	Facility		$43.07	$70.22	$105.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $77.16 / $101.72	Professional		$58.56	$77.16	$101.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $326.67 / $1,110.55 / $1,491.57	Facility		$326.67	$1,110.55	$1,491.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $79.63 / $108.24	Professional		$61.50	$79.63	$108.24
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 $50.31 / $76.79 / $112.05	Professional		$50.31	$76.79	$112.05