Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $112.15 / $133.12	Facility		$62.15	$112.15	$133.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $55.13 / $76.05	Professional		$42.81	$55.13	$76.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $118.71 / $161.27	Professional		$67.45	$118.71	$161.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $104.05 / $138.72	Professional		$68.29	$104.05	$138.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $62.15 / $126.16	Facility		$46.86	$62.15	$126.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $100.77 / $157.01	Professional		$64.48	$100.77	$157.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $100.89 / $119.93	Facility		$70.29	$100.89	$119.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $62.15 / $129.19	Facility		$46.85	$62.15	$129.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $95.51 / $146.16	Professional		$53.72	$95.51	$146.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $98.37 / $146.87	Professional		$74.02	$98.37	$146.87
United Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $118.59 / $183.37	Professional		$87.20	$118.59	$183.37