Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $117.49 / $213.80	Facility		$60.26	$117.49	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $61.66 / $100.00	Professional		$25.12	$61.66	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $81.28 / $190.55	Professional		$32.36	$81.28	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $117.49 / $251.19	Professional		$45.71	$117.49	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $74.13 / $147.91	Facility		$28.18	$74.13	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $239.88	Professional		$39.81	$85.11	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $162.18	Facility		$97.72	$154.88	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $67.61 / $162.18	Facility		$26.30	$67.61	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $204.17	Professional		$50.12	$81.28	$204.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $223.87 / $245.47	Facility		$158.49	$223.87	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $194.98	Professional		$48.98	$85.11	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $77.62 / $173.78	Professional		$37.15	$77.62	$173.78