Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $43.65 / $123.03	Facility		$23.99	$43.65	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $97.72	Professional		$16.98	$25.12	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $93.33	Professional		$20.89	$37.15	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $48.98	Professional		$30.20	$38.90	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.90 / $95.50	Facility		$18.20	$30.90	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $114.82	Professional		$25.12	$41.69	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $128.82	Facility		$30.90	$37.15	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $29.51 / $87.10	Facility		$18.20	$29.51	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $79.43	Professional		$28.84	$43.65	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $478.63	Facility		$309.03	$398.11	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $58.88	Professional		$29.51	$38.90	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $660.69	Facility		$407.38	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $67.61	Professional		$24.55	$41.69	$67.61