Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.83 / $96.16 / $124.62	Facility		$86.83	$96.16	$124.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $53.78 / $218.00	Professional		$41.19	$53.78	$218.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $93.29 / $138.22	Professional		$56.40	$93.29	$138.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $96.48 / $124.15	Professional		$74.54	$96.48	$124.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $68.31 / $117.62	Facility		$41.16	$68.31	$117.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $82.19 / $121.54	Professional		$58.89	$82.19	$121.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $99.45 / $109.88	Facility		$65.93	$99.45	$109.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $71.23 / $128.72	Facility		$41.41	$71.23	$128.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $96.00 / $128.82	Professional		$67.50	$96.00	$128.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $272.27 / $358.21 / $468.62	Facility		$272.27	$358.21	$468.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $95.47 / $132.34	Professional		$51.00	$95.47	$132.34
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 $75.83 / $113.75 / $159.58	Professional		$75.83	$113.75	$159.58