Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $51.30 / $84.94	Facility		$30.16	$51.30	$84.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $46.52 / $80.43	Professional		$23.29	$46.52	$80.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $50.29 / $50.29	Professional		$50.29	$50.29	$50.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $75.61 / $130.84	Professional		$46.07	$75.61	$130.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $75.06 / $121.46	Facility		$30.57	$75.06	$121.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $90.21 / $179.32	Professional		$51.78	$90.21	$179.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.30 / $110.88 / $146.72	Facility		$69.30	$110.88	$146.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $71.70 / $121.46	Facility		$30.57	$71.70	$121.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $82.53 / $149.50	Professional		$46.53	$82.53	$149.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $237.17 / $303.02	Facility		$113.53	$237.17	$303.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $131.10 / $202.40	Professional		$106.59	$131.10	$202.40
United Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $122.11 / $238.28	Professional		$92.51	$122.11	$238.28