Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $147.91 / $398.11	Facility		$46.77	$147.91	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $56.23 / $112.20	Professional		$22.91	$56.23	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $162.18	Professional		$33.88	$69.18	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $151.36	Professional		$39.81	$61.66	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $67.61 / $165.96	Facility		$28.18	$67.61	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $79.43 / $154.88	Professional		$35.48	$79.43	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $117.49 / $144.54	Facility		$97.72	$117.49	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $60.26 / $134.90	Facility		$23.99	$60.26	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $162.18	Professional		$41.69	$79.43	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $169.82	Professional		$45.71	$74.13	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $69.18 / $162.18	Professional		$31.62	$69.18	$162.18