Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $95.11 / $218.66	Professional		$83.01	$95.11	$218.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $167.61 / $228.56	Professional		$92.72	$167.61	$228.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $182.32 / $220.55	Professional		$157.63	$182.32	$220.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $145.36 / $225.25	Facility		$87.41	$145.36	$225.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $159.21 / $215.98	Professional		$139.84	$159.21	$215.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.62 / $171.52 / $174.89	Facility		$123.62	$171.52	$174.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $159.21 / $225.25	Facility		$86.87	$159.21	$225.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $183.17 / $233.61	Professional		$137.80	$183.17	$233.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $189.59 / $243.98	Professional		$157.99	$189.59	$243.98
United Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $174.08 / $251.89	Professional		$117.76	$174.08	$251.89