Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $181.97	Facility		$95.50	$158.49	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $302.00	Professional		$70.79	$79.43	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $190.55	Professional		$85.11	$131.83	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $177.83	Professional		$112.20	$147.91	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $158.49	Facility		$77.62	$79.43	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $190.55	Professional		$79.43	$138.04	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $147.91	Facility		$120.23	$144.54	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $95.50 / $177.83	Facility		$69.18	$95.50	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $194.98	Professional		$79.43	$144.54	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $194.98	Professional		$141.25	$151.36	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $199.53	Professional		$85.11	$138.04	$199.53