Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.66 / $81.66 / $89.81	Facility		$81.66	$81.66	$89.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $64.67 / $262.00	Professional		$36.59	$64.67	$262.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $86.96 / $142.93	Professional		$64.98	$86.96	$142.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $76.78 / $92.12	Professional		$65.20	$76.78	$92.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $66.38 / $155.52	Facility		$35.29	$66.38	$155.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $81.33 / $115.29	Professional		$51.92	$81.33	$115.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $73.03 / $128.63	Facility		$58.80	$73.03	$128.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $82.50 / $151.32	Facility		$35.47	$82.50	$151.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $82.24 / $118.40	Professional		$59.89	$82.24	$118.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $77.22 / $104.53	Professional		$43.92	$77.22	$104.53
United Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $89.55 / $138.25	Professional		$55.59	$89.55	$138.25