Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $120.23	Professional		$41.69	$51.29	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $138.04	Professional		$56.23	$97.72	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $134.90	Professional		$89.13	$109.65	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $60.26 / $112.20	Facility		$43.65	$60.26	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $120.23	Professional		$42.66	$54.95	$120.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $100.00	Facility		$81.28	$97.72	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $61.66 / $114.82	Facility		$43.65	$61.66	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $128.82	Professional		$70.79	$79.43	$128.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $630.96	Facility		$389.05	$501.19	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $128.82	Professional		$77.62	$97.72	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $630.96	Facility		$389.05	$478.63	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $131.83	Professional		$60.26	$91.20	$131.83