Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $80.04	Facility		$68.59	$68.59	$80.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $31.80 / $165.73	Professional		$25.82	$31.80	$165.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $115.91 / $167.21	Professional		$15.31	$115.91	$167.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $69.88 / $88.58	Professional		$61.31	$69.88	$88.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $44.05 / $75.17	Facility		$28.15	$44.05	$75.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $51.60 / $79.20	Professional		$35.96	$51.60	$79.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $50.25 / $61.20	Facility		$34.57	$50.25	$61.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $46.08 / $78.95	Facility		$28.49	$46.08	$78.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $62.88 / $81.88	Professional		$42.57	$62.88	$81.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.39 / $1,002.61 / $1,175.01	Facility		$713.39	$1,002.61	$1,175.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $64.56 / $86.39	Professional		$40.79	$64.56	$86.39
United Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $58.49 / $92.75	Professional		$39.56	$58.49	$92.75