Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $120.66 / $151.35	Facility		$80.06	$120.66	$151.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $62.90 / $155.46	Professional		$48.17	$62.90	$155.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $128.94 / $181.29	Professional		$75.68	$128.94	$181.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $112.84 / $158.60	Professional		$76.17	$112.84	$158.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $83.72 / $146.58	Facility		$50.54	$83.72	$146.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $108.88 / $168.69	Professional		$77.87	$108.88	$168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $126.72 / $136.68	Facility		$81.50	$126.72	$136.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $77.47 / $147.05	Facility		$50.54	$77.47	$147.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $103.60 / $160.00	Professional		$60.67	$103.60	$160.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $111.71 / $164.72	Professional		$80.40	$111.71	$164.72
United Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $132.66 / $208.23	Professional		$88.96	$132.66	$208.23