Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.85 / $132.08 / $150.76	Facility		$116.85	$132.08	$150.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $74.81 / $352.29	Professional		$60.62	$74.81	$352.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $130.31 / $179.82	Professional		$73.34	$130.31	$179.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $133.79 / $158.47	Professional		$114.80	$133.79	$158.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $117.01 / $165.24	Facility		$61.04	$117.01	$165.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $106.79 / $186.03	Professional		$95.54	$106.79	$186.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $118.34 / $130.46	Facility		$89.15	$118.34	$130.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.62 / $148.35 / $184.19	Facility		$74.62	$148.35	$184.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.56 / $133.96 / $176.49	Professional		$108.56	$133.96	$176.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $146.09 / $173.39	Professional		$112.09	$146.09	$173.39
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $74.87 / $191.96	Professional		$64.23	$74.87	$191.96