Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.98 / $108.88 / $135.82	Facility		$59.98	$108.88	$135.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.15 / $98.85	Professional		$44.67	$57.15	$98.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $118.03 / $164.74	Professional		$69.81	$118.03	$164.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $104.20 / $148.57	Professional		$67.79	$104.20	$148.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $62.98 / $124.08	Facility		$46.67	$62.98	$124.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $102.04 / $166.81	Professional		$69.19	$102.04	$166.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $102.30 / $124.62	Facility		$68.66	$102.30	$124.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $62.38 / $128.96	Facility		$46.67	$62.38	$128.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $93.71 / $147.15	Professional		$52.56	$93.71	$147.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $206.91 / $259.19 / $353.03	Facility		$206.91	$259.19	$353.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $100.60 / $152.61	Professional		$73.13	$100.60	$152.61
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $122.60 / $180.05	Professional		$90.17	$122.60	$180.05