Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $114.82	Professional		$61.66	$79.43	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $169.82	Professional		$147.91	$147.91	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $223.87	Professional		$57.54	$61.66	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $158.49	Facility		$53.70	$114.82	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $208.93	Professional		$79.43	$141.25	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $154.88	Facility		$128.82	$151.36	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $158.49	Facility		$53.70	$114.82	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $199.53	Professional		$79.43	$144.54	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $134.90	Professional		$128.82	$128.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $229.09	Professional		$79.43	$158.49	$229.09