Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $83.18 / $165.96	Facility		$35.48	$83.18	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $158.49	Professional		$54.95	$69.18	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $173.78	Professional		$47.86	$97.72	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $165.96	Professional		$89.13	$125.89	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $120.23	Facility		$56.23	$72.44	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $169.82	Professional		$63.10	$114.82	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $134.90	Facility		$89.13	$125.89	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $70.79 / $117.49	Facility		$56.23	$70.79	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $165.96	Professional		$58.88	$100.00	$165.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $138.04	Professional		$63.10	$89.13	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $165.96	Professional		$54.95	$104.71	$165.96