Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.03 / $80.63 / $569.76	Facility		$43.03	$80.63	$569.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $40.03 / $88.45	Professional		$26.82	$40.03	$88.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $68.15 / $133.65	Professional		$28.58	$68.15	$133.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $62.74 / $122.67	Professional		$48.13	$62.74	$122.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.99 / $64.73 / $112.59	Facility		$34.99	$64.73	$112.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $78.73 / $117.83	Professional		$43.86	$78.73	$117.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.59 / $84.36 / $102.51	Facility		$51.59	$84.36	$102.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.99 / $65.56 / $130.43	Facility		$34.99	$65.56	$130.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $77.00 / $124.10	Professional		$50.40	$77.00	$124.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $91.02 / $144.02	Professional		$52.65	$91.02	$144.02
United Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $52.69 / $111.57	Professional		$45.84	$52.69	$111.57