Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $101.45 / $145.58	Facility		$78.79	$101.45	$145.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $78.80 / $442.24	Professional		$53.47	$78.80	$442.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $103.03 / $152.33	Professional		$71.20	$103.03	$152.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $119.81 / $144.43	Professional		$102.78	$119.81	$144.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $78.80 / $157.25	Facility		$61.58	$78.80	$157.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $104.98 / $181.42	Professional		$91.26	$104.98	$181.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $110.35 / $121.94	Facility		$77.81	$110.35	$121.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $102.44 / $157.03	Facility		$78.65	$102.44	$157.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $128.71 / $161.62	Professional		$87.30	$128.71	$161.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.87 / $135.94 / $166.49	Professional		$115.87	$135.94	$166.49
United Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $118.99 / $194.68	Professional		$78.23	$118.99	$194.68