Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $42.66 / $45.71	Facility		$23.99	$42.66	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $41.69	Professional		$16.98	$22.91	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $60.26	Professional		$22.39	$35.48	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $42.66	Professional		$26.92	$35.48	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.99 / $44.67	Facility		$17.38	$23.99	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $60.26	Professional		$23.44	$38.02	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.31 / $54.95	Facility		$30.20	$36.31	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.92 / $61.66	Facility		$16.60	$26.92	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $79.43	Professional		$31.62	$45.71	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $1,995.26	Facility		$1,318.26	$1,698.24	$1,995.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $57.54	Professional		$28.84	$39.81	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,819.70	Facility		$1,122.02	$1,412.54	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $64.57	Professional		$26.30	$42.66	$64.57