Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $151.36	Facility		$74.13	$107.15	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $104.71	Professional		$30.20	$38.90	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $100.00	Professional		$37.15	$64.57	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $83.18	Professional		$53.70	$67.61	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $45.71 / $77.62	Facility		$31.62	$45.71	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $85.11	Professional		$43.65	$66.07	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $75.86	Facility		$54.95	$66.07	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $79.43	Facility		$31.62	$47.86	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $89.13	Professional		$56.23	$72.44	$89.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.18 / $138.04	Facility		$69.18	$83.18	$138.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $89.13	Professional		$48.98	$70.79	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $97.72	Professional		$37.15	$69.18	$97.72