Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $208.93 / $239.88	Facility		$107.15	$208.93	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $251.19	Professional		$77.62	$102.33	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $251.19	Professional		$70.79	$141.25	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $239.88	Professional		$131.83	$181.97	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $177.83	Facility		$81.28	$107.15	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $245.47	Professional		$91.20	$162.18	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $199.53	Facility		$131.83	$186.21	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $169.82	Facility		$81.28	$104.71	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $245.47	Professional		$79.43	$144.54	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $208.93	Professional		$93.33	$128.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $239.88	Professional		$79.43	$151.36	$239.88