Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $201.20	Facility		$181.86	$181.86	$201.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $102.76 / $372.00	Professional		$84.35	$102.76	$372.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $163.53 / $209.82	Professional		$103.67	$163.53	$209.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $171.44 / $206.20	Professional		$146.72	$171.44	$206.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.23 / $102.76 / $218.29	Facility		$88.23	$102.76	$218.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $152.54 / $248.04	Professional		$131.29	$152.54	$248.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.46 / $159.47 / $173.24	Facility		$110.46	$159.47	$173.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.76 / $133.59 / $209.38	Facility		$102.76	$133.59	$209.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $178.10 / $221.54	Professional		$138.46	$178.10	$221.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $181.27 / $229.91	Professional		$154.50	$181.27	$229.91
United Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $165.24 / $233.98	Professional		$114.21	$165.24	$233.98