Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $64.57 / $83.18	Facility		$48.98	$64.57	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $83.18	Professional		$47.86	$57.54	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $63.10	Professional		$56.23	$56.23	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $154.88	Professional		$93.33	$123.03	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $75.86 / $128.82	Facility		$53.70	$75.86	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $154.88	Professional		$72.44	$114.82	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $125.89	Facility		$87.10	$123.03	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $128.82	Facility		$51.29	$75.86	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $162.18	Professional		$60.26	$125.89	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $165.96	Professional		$93.33	$123.03	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $158.49	Professional		$64.57	$112.20	$158.49