Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $174.60 / $577.54	Facility		$41.72	$174.60	$577.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $37.71 / $104.83	Professional		$24.73	$37.71	$104.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $62.05 / $112.58	Professional		$25.26	$62.05	$112.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $57.99 / $102.89	Professional		$44.33	$57.99	$102.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $55.15 / $99.60	Facility		$31.88	$55.15	$99.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $67.86 / $92.88	Professional		$39.27	$67.86	$92.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $78.39 / $86.43	Facility		$47.16	$78.39	$86.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $56.27 / $108.98	Facility		$31.88	$56.27	$108.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $67.98 / $106.36	Professional		$45.58	$67.98	$106.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $80.42 / $120.33	Professional		$48.65	$80.42	$120.33
United Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $44.75 / $93.22	Professional		$40.28	$44.75	$93.22