Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $354.81 / $602.56	Facility		$72.44	$354.81	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $39.81	Professional		$16.22	$23.99	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.69 / $64.57	Facility		$1.66	$2.69	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $14.45 / $58.88	Professional		$1.02	$14.45	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $64.57	Professional		$25.12	$53.70	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $158.49 / $562.34	Facility		$18.62	$158.49	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $37.15	Professional		$19.95	$20.89	$37.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $67.61	Facility		$41.69	$50.12	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $18.62 / $64.57	Facility		$2.51	$18.62	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $48.98 / $79.43	Professional		$11.75	$48.98	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $645.65	Facility		$407.38	$537.03	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $60.26 / $83.18	Professional		$20.89	$60.26	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $831.76	Facility		$512.86	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $43.65	Professional		$10.47	$15.14	$43.65