Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $194.98	Professional		$79.43	$93.33	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $229.09	Professional		$91.20	$169.82	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $204.17	Professional		$128.82	$162.18	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $120.23 / $204.17	Facility		$83.18	$120.23	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $213.80	Professional		$125.89	$158.49	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $169.82 / $173.78	Facility		$134.90	$169.82	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $204.17	Facility		$79.43	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $234.42	Professional		$79.43	$173.78	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $234.42	Professional		$158.49	$186.21	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $251.19	Professional		$109.65	$169.82	$251.19