Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $125.89 / $151.36	Facility		$61.66	$125.89	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $74.13	Professional		$40.74	$51.29	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $158.49	Professional		$61.66	$120.23	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $138.04	Professional		$61.66	$93.33	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $97.72	Facility		$43.65	$64.57	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $154.88	Professional		$50.12	$104.71	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $120.23	Facility		$77.62	$117.49	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $89.13	Facility		$42.66	$53.70	$89.13
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 Professional Modifier Low / Median / High Price $77.62 / $102.33 / $147.91	Professional		$77.62	$102.33	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $154.88	Professional		$72.44	$109.65	$154.88