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 $66.07 / $83.18 / $120.23	Professional		$66.07	$83.18	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $181.97	Professional		$154.88	$154.88	$181.97
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 $44.67 / $120.23 / $158.49	Facility		$44.67	$120.23	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $208.93	Professional		$79.43	$151.36	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $158.49	Facility		$117.49	$151.36	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $120.23 / $165.96	Facility		$44.67	$120.23	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $213.80	Professional		$79.43	$144.54	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $138.04	Professional		$125.89	$131.83	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $245.47	Professional		$85.11	$169.82	$245.47