Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $96.91 / $133.46	Professional		$74.93	$96.91	$133.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $153.33 / $244.79	Professional		$87.23	$153.33	$244.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $186.18 / $215.86	Professional		$90.49	$186.18	$215.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $108.59 / $223.49	Facility		$69.88	$108.59	$223.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $140.36 / $177.48	Professional		$94.55	$140.36	$177.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $144.72 / $174.87	Facility		$95.90	$144.72	$174.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $114.00 / $223.49	Facility		$75.50	$114.00	$223.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $161.25 / $230.86	Professional		$104.28	$161.25	$230.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $163.36 / $238.00	Professional		$99.68	$163.36	$238.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $137.19 / $250.88	Professional		$93.10	$137.19	$250.88