Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $92.93 / $101.31	Facility		$92.93	$92.93	$101.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $41.27 / $104.96	Professional		$37.83	$41.27	$104.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $77.84 / $118.99	Professional		$57.57	$77.84	$118.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $83.84 / $100.14	Professional		$67.81	$83.84	$100.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $58.27 / $116.81	Facility		$43.02	$58.27	$116.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $73.18 / $132.61	Professional		$66.70	$73.18	$132.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $79.83 / $84.18	Facility		$53.24	$79.83	$84.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $65.33 / $105.55	Facility		$46.18	$65.33	$105.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $80.59 / $118.44	Professional		$68.20	$80.59	$118.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $88.35 / $131.09	Professional		$77.88	$88.35	$131.09
United Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $45.32 / $45.32	Facility		$45.32	$45.32	$45.32
United Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $80.77 / $127.42	Professional		$58.28	$80.77	$127.42