Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $281.84	Facility		$123.03	$165.96	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $446.68	Professional		$64.57	$93.33	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $213.80	Professional		$83.18	$144.54	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $190.55	Professional		$125.89	$158.49	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $169.82	Facility		$64.57	$104.71	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $223.87	Professional		$107.15	$151.36	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $154.88	Facility		$117.49	$144.54	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $114.82 / $190.55	Facility		$74.13	$114.82	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $213.80	Professional		$120.23	$154.88	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $213.80	Professional		$134.90	$162.18	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $204.17	Professional		$79.43	$89.13	$204.17