Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $84.10 / $252.30	Facility		$72.50	$84.10	$252.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $56.26 / $314.60	Professional		$48.97	$56.26	$314.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $83.12	Professional		$66.48	$66.48	$83.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $141.19 / $152.33	Professional		$58.00	$141.19	$152.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.81 / $62.76 / $134.80	Facility		$43.81	$62.76	$134.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $66.70 / $96.60	Professional		$58.00	$66.70	$96.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $78.30 / $128.04	Facility		$58.00	$78.30	$128.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $69.59 / $134.80	Facility		$58.00	$69.59	$134.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $72.50 / $94.94	Professional		$63.80	$72.50	$94.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $179.00 / $239.62	Facility		$113.10	$179.00	$239.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $73.93 / $142.77	Professional		$51.85	$73.93	$142.77
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $33.15 / $81.94	Professional		$24.36	$33.15	$81.94