Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $302.00 / $758.58	Facility		$61.66	$302.00	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $11.75 / $46.77	Professional		$6.17	$11.75	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $24.55 / $30.90	Professional		$6.17	$24.55	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $17.78	Professional		$12.59	$14.79	$17.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $39.81 / $602.56	Facility		$8.71	$39.81	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.13 / $22.39	Professional		$8.32	$14.13	$22.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.85 / $21.38	Facility		$11.48	$15.85	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $15.14 / $25.70	Facility		$6.92	$15.14	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $79.43	Professional		$11.48	$15.85	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $194.98 / $245.47	Facility		$154.88	$194.98	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $19.50	Professional		$8.32	$12.88	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $218.78 / $288.40	Facility		$177.83	$218.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.60 / $22.39	Professional		$10.47	$16.60	$22.39