Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $28.82 / $38.75	Facility		$28.82	$28.82	$38.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $35.01 / $214.68	Professional		$22.01	$35.01	$214.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $72.06 / $81.13	Professional		$50.69	$72.06	$81.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $53.22 / $91.35	Facility		$42.49	$53.22	$91.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $59.52 / $99.74	Professional		$39.27	$59.52	$99.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $60.97 / $64.17	Facility		$43.90	$60.97	$64.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $76.29 / $80.66	Facility		$42.49	$76.29	$80.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $72.47 / $92.15	Professional		$27.97	$72.47	$92.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $77.95 / $99.66	Professional		$50.90	$77.95	$99.66
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $68.39 / $99.99	Professional		$48.87	$68.39	$99.99