Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.51 / $162.51 / $181.20	Facility		$162.51	$162.51	$181.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $96.78 / $359.08	Professional		$72.48	$96.78	$359.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $160.12 / $214.38	Professional		$96.94	$160.12	$214.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $151.86 / $189.06	Professional		$125.83	$151.86	$189.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $139.58 / $194.65	Facility		$76.45	$139.58	$194.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $133.19 / $180.98	Professional		$110.48	$133.19	$180.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $135.99 / $149.41	Facility		$95.27	$135.99	$149.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $151.19 / $194.65	Facility		$77.66	$151.19	$194.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $161.44 / $202.16	Professional		$131.06	$161.44	$202.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $151.68 / $188.13	Facility		$107.42	$151.68	$188.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $167.74 / $206.56	Professional		$138.04	$167.74	$206.56
United Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $153.87 / $228.35	Professional		$107.04	$153.87	$228.35