Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $131.41 / $557.77	Facility		$50.66	$131.41	$557.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $119.47 / $957.06	Professional		$25.33	$119.47	$957.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $49.96 / $62.96	Facility		$23.90	$49.96	$62.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $27.48	Professional		$25.33	$25.33	$27.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $258.33 / $303.58	Professional		$25.33	$258.33	$303.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $36.22 / $401.63	Facility		$25.33	$36.22	$401.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $27.86 / $32.93	Professional		$25.33	$27.86	$32.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $75.98 / $468.77	Facility		$25.33	$75.98	$468.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $54.75 / $445.25	Facility		$38.47	$54.75	$445.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $46.35 / $536.30	Professional		$27.48	$46.35	$536.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $280.30 / $546.36 / $1,390.27	Facility		$280.30	$546.36	$1,390.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $28.20	Professional		$25.33	$25.33	$28.20