Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $56.95 / $63.21	Facility		$56.95	$56.95	$63.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $48.24 / $231.32	Professional		$37.60	$48.24	$231.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $68.78 / $104.86	Professional		$53.46	$68.78	$104.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $58.43 / $66.52	Professional		$41.32	$58.43	$66.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $83.57 / $114.00	Facility		$52.00	$83.57	$114.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $68.00 / $84.89	Professional		$42.70	$68.00	$84.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $62.23 / $88.44	Facility		$43.45	$62.23	$88.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $83.57 / $114.00	Facility		$52.00	$83.57	$114.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $83.84 / $125.61	Professional		$54.29	$83.84	$125.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $67.86 / $91.02	Professional		$50.02	$67.86	$91.02
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 $65.80 / $83.26 / $105.98	Professional		$65.80	$83.26	$105.98