Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $147.91	Facility		$52.48	$63.10	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.12 / $93.33	Professional		$25.70	$50.12	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $75.86 / $154.88	Professional		$37.15	$75.86	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $131.83	Professional		$41.69	$64.57	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $67.61 / $109.65	Facility		$30.20	$67.61	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $147.91	Professional		$38.02	$72.44	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $117.49	Facility		$61.66	$93.33	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $66.07 / $109.65	Facility		$30.20	$66.07	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $144.54	Professional		$48.98	$79.43	$144.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $323.59	Facility		$154.88	$218.78	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $147.91	Professional		$50.12	$83.18	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,071.52 / $6,165.95	Facility		$218.78	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $147.91	Professional		$40.74	$74.13	$147.91