Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $138.04	Facility		$93.33	$93.33	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $181.97	Professional		$32.36	$56.23	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $154.88	Professional		$51.29	$93.33	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $134.90	Professional		$53.70	$89.13	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $61.66 / $102.33	Facility		$36.31	$61.66	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $131.83	Professional		$39.81	$72.44	$131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $120.23	Facility		$75.86	$114.82	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $57.54 / $97.72	Facility		$34.67	$57.54	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $144.54	Professional		$47.86	$81.28	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $138.04	Professional		$64.57	$93.33	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $147.91	Professional		$61.66	$97.72	$147.91