Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $85.88 / $118.91	Professional		$69.34	$85.88	$118.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $155.16 / $182.92	Professional		$155.16	$155.16	$182.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $61.01 / $215.02	Professional		$53.38	$61.01	$215.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $124.45 / $170.82	Facility		$55.62	$124.45	$170.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $147.62 / $185.18	Professional		$120.32	$147.62	$185.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $150.21 / $160.80	Facility		$111.91	$150.21	$160.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $121.56 / $170.82	Facility		$55.62	$121.56	$170.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $148.80 / $192.00	Professional		$109.76	$148.80	$192.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $131.63 / $204.71	Professional		$125.05	$131.63	$204.71
United Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $165.90 / $244.96	Professional		$85.53	$165.90	$244.96