Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.15 / $134.88 / $150.86	Facility		$113.15	$134.88	$150.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $113.15 / $180.75	Professional		$92.78	$113.15	$180.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $125.00 / $290.74	Professional		$105.00	$125.00	$290.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.24 / $223.16 / $286.99	Professional		$157.24	$223.16	$286.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.07 / $138.00 / $269.74	Facility		$104.07	$138.00	$269.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.51 / $203.36 / $326.33	Professional		$131.51	$203.36	$326.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $226.46 / $241.20	Facility		$143.00	$226.46	$241.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.29 / $137.83 / $270.58	Facility		$104.29	$137.83	$270.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $174.62 / $288.60	Professional		$112.00	$174.62	$288.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $209.15 / $295.38	Professional		$138.66	$209.15	$295.38
United Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $194.70 / $332.57	Professional		$120.30	$194.70	$332.57