Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $269.15	Facility		$125.89	$245.47	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $186.21	Professional		$91.20	$107.15	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $281.84	Professional		$112.20	$190.55	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $275.42	Professional		$169.82	$218.78	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $234.42	Facility		$93.33	$128.82	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $295.12	Professional		$107.15	$208.93	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $213.80	Facility		$147.91	$204.17	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $218.78	Facility		$95.50	$125.89	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $275.42	Professional		$123.03	$208.93	$275.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $275.42	Professional		$162.18	$199.53	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $288.40	Professional		$128.82	$199.53	$288.40