Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $101.49 / $133.19	Facility		$67.09	$101.49	$133.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $57.25 / $185.00	Professional		$43.28	$57.25	$185.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $116.45 / $152.69	Professional		$60.67	$116.45	$152.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $102.66 / $125.76	Professional		$73.34	$102.66	$125.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $67.09 / $132.80	Facility		$48.27	$67.09	$132.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $93.80 / $162.60	Professional		$60.69	$93.80	$162.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $104.15 / $107.87	Facility		$77.04	$104.15	$107.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $67.09 / $132.80	Facility		$46.85	$67.09	$132.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $100.44 / $136.19	Professional		$52.81	$100.44	$136.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.60 / $140.80	Professional		$79.48	$93.60	$140.80
United Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $111.08 / $168.64	Professional		$69.95	$111.08	$168.64