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 $45.88 / $61.32 / $142.74	Professional		$45.88	$61.32	$142.74
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 $82.49 / $126.03 / $136.68	Facility		$82.49	$126.03	$136.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $77.15 / $146.58	Facility		$50.49	$77.15	$146.58
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 $87.12 / $130.41 / $208.23	Professional		$87.12	$130.41	$208.23