Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $52.17 / $422.05	Facility		$48.88	$52.17	$422.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $133.16 / $411.50	Professional		$22.55	$133.16	$411.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $157.02 / $462.88	Professional		$37.89	$157.02	$462.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $160.18 / $382.10	Professional		$36.36	$160.18	$382.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $145.93 / $492.19	Facility		$29.30	$145.93	$492.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $242.85 / $397.39	Professional		$33.39	$242.85	$397.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $299.08 / $384.20	Facility		$54.94	$299.08	$384.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $207.13 / $492.19	Facility		$29.30	$207.13	$492.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $208.22 / $476.54	Professional		$48.00	$208.22	$476.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $1,190.78 / $1,341.28	Facility		$872.64	$1,190.78	$1,341.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $86.81 / $500.72	Professional		$47.49	$86.81	$500.72
United Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $386.24 / $587.09	Professional		$281.33	$386.24	$587.09