Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.69 / $181.64 / $202.75	Facility		$168.69	$181.64	$202.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $39.95 / $217.68	Professional		$34.20	$39.95	$217.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $181.59 / $237.98	Professional		$93.49	$181.59	$237.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $186.91 / $215.62	Professional		$130.97	$186.91	$215.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $112.21 / $241.25	Facility		$76.31	$112.21	$241.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $135.29 / $253.58	Professional		$58.41	$135.29	$253.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $136.01 / $162.13	Facility		$60.92	$136.01	$162.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $26.22 / $28.10	Professional		$25.65	$26.22	$28.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.05 / $185.08 / $253.05	Facility		$83.05	$185.08	$253.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $190.72 / $236.82	Professional		$100.70	$190.72	$236.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $198.56 / $258.45	Professional		$144.24	$198.56	$258.45
United Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $77.59 / $256.41	Professional		$33.42	$77.59	$256.41