Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $476.38 / $8,728.00	Facility		$40.49	$476.38	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $23.87 / $67.91	Professional		$10.53	$23.87	$67.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $47.24 / $111.80	Professional		$17.26	$47.24	$111.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $56.20 / $104.89	Professional		$42.85	$56.20	$104.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $52.23 / $84.54	Facility		$25.73	$52.23	$84.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $54.51 / $117.02	Professional		$21.12	$54.51	$117.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $73.64 / $90.45	Facility		$27.15	$73.64	$90.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $59.12 / $114.99	Facility		$28.27	$59.12	$114.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $59.67 / $112.05	Professional		$23.62	$59.67	$112.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $72.66 / $126.97	Professional		$46.15	$72.66	$126.97
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 $25.51 / $47.28 / $109.26	Professional		$25.51	$47.28	$109.26