Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $87.10 / $95.50	Facility		$48.98	$87.10	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $112.20	Professional		$36.31	$42.66	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $107.15	Professional		$42.66	$70.79	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $95.50	Professional		$60.26	$77.62	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $50.12 / $89.13	Facility		$36.31	$50.12	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $112.20	Professional		$41.69	$74.13	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $74.13 / $79.43	Facility		$52.48	$74.13	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $48.98 / $83.18	Facility		$36.31	$48.98	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $107.15	Professional		$56.23	$79.43	$107.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $151.36	Facility		$95.50	$125.89	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $104.71	Professional		$61.66	$79.43	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $181.97	Facility		$112.20	$141.25	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $114.82	Professional		$48.98	$79.43	$114.82