Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $208.93 / $213.80	Facility		$44.67	$208.93	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $56.23	Professional		$30.20	$36.31	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $138.04	Facility		$75.86	$75.86	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $102.33 / $123.03	Professional		$46.77	$102.33	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $66.07	Professional		$44.67	$51.29	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $66.07	Facility		$46.77	$46.77	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $66.07 / $123.03	Facility		$42.66	$66.07	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $79.43	Professional		$46.77	$60.26	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $186.21	Facility		$70.79	$138.04	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $56.23	Professional		$38.02	$39.81	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Facility		$56.23	$56.23	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $56.23	Professional		$19.95	$19.95	$56.23