Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $891.25	Facility		$38.90	$45.71	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $50.12	Professional		$28.18	$36.31	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $117.49	Professional		$77.62	$91.20	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $97.72	Facility		$33.11	$50.12	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $50.12	Professional		$28.84	$37.15	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $85.11	Facility		$70.79	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50.12 / $93.33	Facility		$32.36	$50.12	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $85.11	Professional		$36.31	$36.31	$85.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $616.60 / $954.99	Facility		$354.81	$616.60	$954.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $107.15	Professional		$67.61	$81.28	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $912.01	Facility		$562.34	$691.83	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $123.03	Professional		$50.12	$83.18	$123.03