Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $104.71 / $7,943.28	Facility		$18.62	$104.71	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $56.23 / $125.89	Professional		$16.98	$56.23	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $87.10 / $194.98	Professional		$36.31	$87.10	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $54.95 / $141.25	Facility		$20.89	$54.95	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $186.21	Professional		$33.88	$74.13	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $138.04 / $169.82	Facility		$83.18	$138.04	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $52.48 / $138.04	Facility		$20.42	$52.48	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $213.80	Professional		$41.69	$74.13	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $758.58	Facility		$489.78	$660.69	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $79.43 / $204.17	Professional		$36.31	$79.43	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $63.10 / $181.97	Professional		$30.90	$63.10	$181.97