Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.85 / $131.13 / $202.24	Facility		$90.85	$131.13	$202.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.15 / $71.95 / $106.67	Professional		$57.15	$71.95	$106.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $192.57 / $198.90	Professional		$123.48	$192.57	$198.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $171.62 / $193.20	Professional		$77.06	$171.62	$193.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.10 / $151.72 / $228.12	Facility		$106.10	$151.72	$228.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $135.04 / $257.81	Professional		$107.10	$135.04	$257.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.69 / $135.32 / $162.81	Facility		$88.69	$135.32	$162.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.09 / $151.72 / $206.80	Facility		$111.09	$151.72	$206.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $137.35 / $204.85	Professional		$90.18	$137.35	$204.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $133.94 / $212.08	Professional		$133.94	$133.94	$212.08
United Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $134.56 / $211.85	Professional		$91.08	$134.56	$211.85