Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $51.29 / $51.29	Facility		$23.99	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $35.48	Professional		$16.98	$20.42	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $56.23	Professional		$20.89	$37.15	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $56.23	Professional		$38.02	$45.71	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.99 / $38.90	Facility		$19.50	$23.99	$38.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $54.95	Professional		$24.55	$40.74	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $39.81 / $39.81	Facility		$28.18	$39.81	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.12 / $43.65	Facility		$18.20	$25.12	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $58.88	Professional		$28.84	$43.65	$58.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $416.87 / $524.81	Facility		$331.13	$416.87	$524.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $51.29	Professional		$31.62	$39.81	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $660.69	Facility		$407.38	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $37.15 / $53.70	Professional		$20.42	$37.15	$53.70