Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $160.69 / $222.67	Facility		$90.49	$160.69	$222.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $42.13	Professional		$20.04	$20.04	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.58 / $70.58 / $126.19	Facility		$70.58	$70.58	$126.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $95.17 / $114.05	Professional		$43.43	$95.17	$114.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $42.13 / $95.55	Facility		$32.57	$42.13	$95.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $58.63	Professional		$43.43	$43.43	$58.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $48.64 / $76.00	Facility		$43.43	$48.64	$76.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $57.54 / $114.33	Facility		$52.12	$57.54	$114.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $47.77 / $60.80	Professional		$47.77	$47.77	$60.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $84.69 / $132.16 / $170.49	Facility		$84.69	$132.16	$170.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $81.48 / $136.37	Professional		$69.31	$81.48	$136.37
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $45.60	Professional		$18.23	$18.23	$45.60