Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $44.67 / $1,047.13	Facility		$22.91	$44.67	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $575.44	Professional		$15.85	$31.62	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $79.43 / $1,071.52	Professional		$17.78	$79.43	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $977.24	Professional		$28.18	$41.69	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $50.12 / $776.25	Facility		$19.50	$50.12	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $181.97 / $977.24	Professional		$26.92	$181.97	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $676.08 / $851.14	Facility		$194.98	$676.08	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $125.89 / $812.83	Facility		$19.95	$125.89	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $79.43 / $1,071.52	Professional		$28.18	$79.43	$1,071.52
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 $33.88 / $61.66 / $1,071.52	Professional		$33.88	$61.66	$1,071.52
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 $17.78 / $75.86 / $407.38	Professional		$17.78	$75.86	$407.38