Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.74 / $331.91 / $358.73	Facility		$148.74	$331.91	$358.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $74.51 / $182.23	Professional		$62.28	$74.51	$182.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $149.19 / $201.91	Professional		$104.22	$149.19	$201.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $163.27 / $184.46	Professional		$136.18	$163.27	$184.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $144.08 / $192.77	Facility		$89.66	$144.08	$192.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $128.69 / $224.91	Professional		$110.64	$128.69	$224.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.37 / $136.68 / $144.72	Facility		$104.37	$136.68	$144.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.21 / $177.17 / $242.65	Facility		$128.21	$177.17	$242.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $158.26 / $204.67	Professional		$115.56	$158.26	$204.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $165.18 / $198.98	Professional		$128.10	$165.18	$198.98
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $96.90 / $223.41	Professional		$92.03	$96.90	$223.41