Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $177.83	Facility		$91.20	$151.36	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $128.82	Professional		$60.26	$77.62	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $181.97	Professional		$61.66	$83.18	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $173.78	Professional		$93.33	$131.83	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $147.91	Facility		$66.07	$89.13	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $173.78	Professional		$67.61	$112.20	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $147.91 / $158.49	Facility		$104.71	$147.91	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $141.25	Facility		$66.07	$89.13	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $186.21	Professional		$70.79	$102.33	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $177.83	Professional		$93.33	$131.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $204.17	Professional		$79.43	$138.04	$204.17