Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.60 / $298.60 / $332.01	Facility		$298.60	$298.60	$332.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $63.61 / $76.76	Professional		$57.29	$63.61	$76.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $101.48 / $101.48	Professional		$101.48	$101.48	$101.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $151.07 / $174.78	Professional		$123.38	$151.07	$174.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $76.76 / $139.13	Facility		$59.84	$76.76	$139.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $73.34 / $73.34	Professional		$73.34	$73.34	$73.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $56.85 / $62.66	Facility		$42.32	$56.85	$62.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $76.76 / $127.10	Facility		$59.84	$76.76	$127.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $78.31 / $132.40	Professional		$66.56	$78.31	$132.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $158.36 / $181.92	Professional		$103.97	$158.36	$181.92
United Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $75.66 / $198.44	Professional		$68.98	$75.66	$198.44