Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.70 / $5,116.62 / $20,400.00	Facility		$55.70	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $32.34 / $136.40	Professional		$25.77	$32.34	$136.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $56.53 / $79.90	Professional		$40.22	$56.53	$79.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $55.94 / $62.99	Professional		$39.79	$55.94	$62.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $53.09 / $69.53	Facility		$32.34	$53.09	$69.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $49.28 / $78.52	Professional		$39.27	$49.28	$78.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.34 / $48.48 / $51.00	Facility		$36.34	$48.48	$51.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $58.13 / $68.76	Facility		$32.34	$58.13	$68.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $58.65 / $73.61	Professional		$46.50	$58.65	$73.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $60.72 / $77.63	Professional		$46.85	$60.72	$77.63
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 $39.75 / $57.00 / $78.73	Professional		$39.75	$57.00	$78.73