Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.68 / $86.39 / $127.40	Facility		$77.68	$86.39	$127.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $47.90 / $86.39	Professional		$32.82	$47.90	$86.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $83.66 / $136.88	Professional		$51.36	$83.66	$136.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $89.52 / $127.31	Professional		$66.09	$89.52	$127.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $63.31 / $110.53	Facility		$36.33	$63.31	$110.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $82.73 / $124.53	Professional		$56.03	$82.73	$124.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $95.81 / $103.18	Facility		$57.49	$95.81	$103.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $65.34 / $128.72	Facility		$37.65	$65.34	$128.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $89.94 / $127.82	Professional		$63.36	$89.94	$127.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $86.15 / $131.65	Professional		$42.30	$86.15	$131.65
United Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $101.53 / $155.40	Professional		$70.95	$101.53	$155.40