Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $156.78 / $210.60	Facility		$75.55	$156.78	$210.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $44.99 / $149.00	Professional		$35.52	$44.99	$149.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $71.79 / $102.27	Professional		$42.95	$71.79	$102.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $78.09 / $95.13	Professional		$67.02	$78.09	$95.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.51 / $63.93 / $86.86	Facility		$36.51	$63.93	$86.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $61.13 / $102.69	Professional		$54.29	$61.13	$102.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $64.31 / $69.68	Facility		$47.04	$64.31	$69.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $71.03 / $86.67	Facility		$36.64	$71.03	$86.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $74.70 / $96.00	Professional		$59.78	$74.70	$96.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $80.66 / $95.70	Professional		$61.99	$80.66	$95.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $65.79 / $102.46	Professional		$39.11	$65.79	$102.46