Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.58 / $62.70 / $143.90	Facility		$52.58	$62.70	$143.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $51.25 / $138.82	Professional		$29.13	$51.25	$138.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $75.72 / $157.28	Professional		$48.19	$75.72	$157.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $69.94 / $138.12	Professional		$47.60	$69.94	$138.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $70.02 / $124.03	Facility		$30.28	$70.02	$124.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $80.62 / $170.91	Professional		$41.79	$80.62	$170.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $92.46 / $116.58	Facility		$55.61	$92.46	$116.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $80.53 / $150.16	Facility		$30.28	$80.53	$150.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $80.15 / $157.28	Professional		$50.44	$80.15	$157.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $209.93 / $326.67	Facility		$155.05	$209.93	$326.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $88.72 / $165.81	Professional		$49.85	$88.72	$165.81
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 $80.63 / $101.64 / $186.17	Professional		$80.63	$101.64	$186.17