Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $70.89 / $208.16	Facility		$64.59	$70.89	$208.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $85.56 / $146.13	Professional		$31.53	$85.56	$146.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $87.71 / $215.43	Professional		$45.24	$87.71	$215.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $85.85 / $204.79	Professional		$55.14	$85.85	$204.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $85.85 / $199.20	Facility		$36.79	$85.85	$199.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $125.97 / $202.12	Professional		$48.69	$125.97	$202.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $151.96 / $166.83	Facility		$59.83	$151.96	$166.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $102.68 / $215.38	Facility		$36.79	$102.68	$215.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $106.42 / $210.65	Professional		$55.04	$106.42	$210.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $170.44 / $230.55 / $263.70	Facility		$170.44	$230.55	$263.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $97.50 / $220.88	Professional		$54.74	$97.50	$220.88
United Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $167.91 / $241.80	Professional		$122.20	$167.91	$241.80