Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $2,818.38	Facility		$72.44	$114.82	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $223.87	Professional		$52.48	$72.44	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $158.49	Professional		$70.79	$114.82	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $123.03	Professional		$51.29	$100.00	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $77.62 / $154.88	Facility		$50.12	$77.62	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $147.91	Professional		$77.62	$104.71	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $114.82	Facility		$83.18	$97.72	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $77.62 / $134.90	Facility		$51.29	$77.62	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $144.54	Professional		$75.86	$104.71	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $158.49	Professional		$97.72	$120.23	$158.49
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 $81.28 / $117.49 / $158.49	Professional		$81.28	$117.49	$158.49