Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $97.72 / $125.89	Facility		$47.86	$97.72	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $141.25	Professional		$39.81	$52.48	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $138.04	Professional		$52.48	$85.11	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $131.83	Professional		$61.66	$93.33	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $61.66 / $112.20	Facility		$38.90	$61.66	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $125.89	Professional		$51.29	$85.11	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $109.65	Facility		$75.86	$100.00	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $64.57 / $117.49	Facility		$40.74	$64.57	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $125.89	Professional		$63.10	$89.13	$125.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $363.08 / $467.74	Facility		$269.15	$363.08	$467.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $128.82	Professional		$63.10	$95.50	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,071.52 / $6,165.95	Facility		$354.81	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $141.25	Professional		$61.66	$100.00	$141.25