Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $272.83 / $570.04	Facility		$21.12	$272.83	$570.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $25.33 / $136.49	Professional		$11.59	$25.33	$136.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $49.12 / $128.44	Professional		$18.85	$49.12	$128.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $52.39 / $124.97	Professional		$22.45	$52.39	$124.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $47.32 / $125.33	Facility		$15.53	$47.32	$125.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $72.78 / $124.53	Professional		$20.30	$72.78	$124.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $91.90 / $101.17	Facility		$23.45	$91.90	$101.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $68.00 / $128.72	Facility		$15.53	$68.00	$128.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $62.11 / $127.50	Professional		$22.94	$62.11	$127.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $37.76 / $129.71	Professional		$24.10	$37.76	$129.71
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $95.81 / $143.85	Professional		$67.20	$95.81	$143.85