Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $44.55 / $1,073.98	Facility		$40.44	$44.55	$1,073.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $27.10 / $767.75	Professional		$16.21	$27.10	$767.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $85.18 / $1,111.67	Professional		$18.18	$85.18	$1,111.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $42.85 / $969.68	Professional		$32.21	$42.85	$969.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $294.64 / $776.98	Facility		$23.08	$294.64	$776.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $181.98 / $961.39	Professional		$28.28	$181.98	$961.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $612.38 / $859.61	Facility		$30.15	$612.38	$859.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $391.72 / $1,142.99	Facility		$23.08	$391.72	$1,142.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $203.71 / $1,074.51	Professional		$33.11	$203.71	$1,074.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $61.07 / $1,262.07	Professional		$35.32	$61.07	$1,262.07
United Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $329.86 / $935.94	Professional		$121.66	$329.86	$935.94