Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.95 / $157.94 / $467.60	Facility		$123.95	$157.94	$467.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $91.00 / $300.95	Professional		$70.26	$91.00	$300.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $135.40 / $189.25	Professional		$86.57	$135.40	$189.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $153.96 / $185.74	Professional		$132.16	$153.96	$185.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $94.75 / $189.55	Facility		$79.20	$94.75	$189.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $133.30 / $227.73	Professional		$117.41	$133.30	$227.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $143.21 / $148.74	Facility		$99.65	$143.21	$148.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.75 / $123.18 / $192.21	Facility		$94.75	$123.18	$192.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $160.00 / $200.37	Professional		$112.61	$160.00	$200.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $166.41 / $208.32	Professional		$141.84	$166.41	$208.32
United Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $150.96 / $213.57	Professional		$102.12	$150.96	$213.57