Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $73.79 / $297.95	Facility		$63.96	$73.79	$297.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.97 / $184.89	Professional		$33.88	$44.97	$184.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $76.73 / $98.34	Professional		$47.53	$76.73	$98.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $77.73 / $89.05	Professional		$54.14	$77.73	$89.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.97 / $74.51 / $106.95	Facility		$44.97	$74.51	$106.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $57.30 / $106.11	Professional		$48.96	$57.30	$106.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $62.31 / $76.64	Facility		$45.06	$62.31	$76.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.97 / $80.92 / $115.00	Facility		$44.97	$80.92	$115.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $76.52 / $97.00	Professional		$55.73	$76.52	$97.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $82.05 / $106.80	Professional		$58.65	$82.05	$106.80
United Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $33.42 / $103.29	Professional		$32.84	$33.42	$103.29