Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $173.78 / $588.84	Facility		$41.69	$173.78	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $125.89	Professional		$23.99	$38.90	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $44.67 / $107.15	Professional		$23.99	$44.67	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $102.33	Professional		$38.02	$52.48	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $56.23 / $204.17	Facility		$31.62	$56.23	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $102.33	Professional		$36.31	$63.10	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $87.10	Facility		$56.23	$81.28	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $48.98 / $87.10	Facility		$28.84	$48.98	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $104.71	Professional		$38.02	$67.61	$104.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $109.65	Professional		$48.98	$77.62	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $1,000.00	Facility		$602.56	$758.58	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $53.70	Professional		$23.99	$40.74	$53.70