Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $87.59 / $140.99	Professional		$56.03	$87.59	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $124.98 / $236.03	Professional		$70.53	$124.98	$236.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $183.61 / $230.31	Professional		$108.03	$183.61	$230.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $107.62 / $182.21	Facility		$61.69	$107.62	$182.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $150.87 / $314.06	Professional		$92.80	$150.87	$314.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $162.72 / $200.33	Facility		$85.00	$162.72	$200.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.03 / $118.27 / $241.70	Facility		$63.03	$118.27	$241.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $187.74 / $250.61	Professional		$103.92	$187.74	$250.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $95.27 / $163.76	Professional		$71.83	$95.27	$163.76
United Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $160.16 / $257.31	Professional		$116.53	$160.16	$257.31