Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $123.03 / $162.18	Facility		$58.88	$123.03	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $89.13	Professional		$40.74	$54.95	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $165.96	Professional		$66.07	$117.49	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $147.91	Professional		$63.10	$97.72	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $74.13 / $100.00	Facility		$43.65	$74.13	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $102.33 / $158.49	Professional		$50.12	$102.33	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $125.89	Facility		$81.28	$120.23	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $57.54 / $93.33	Facility		$42.66	$57.54	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $147.91	Professional		$54.95	$91.20	$147.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $331.13	Facility		$208.93	$281.84	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $147.91	Professional		$75.86	$104.71	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $501.19	Facility		$309.03	$380.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $162.18	Professional		$70.79	$109.65	$162.18