Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $125.89 / $162.18	Facility		$83.18	$125.89	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $109.65	Professional		$43.65	$57.54	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $181.97	Professional		$70.79	$128.82	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $154.88	Professional		$67.61	$104.71	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $107.15	Facility		$45.71	$64.57	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $169.82	Professional		$57.54	$107.15	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $138.04	Facility		$95.50	$131.83	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $63.10 / $114.82	Facility		$45.71	$63.10	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $158.49	Professional		$64.57	$97.72	$158.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $165.96	Professional		$83.18	$114.82	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $173.78	Professional		$69.18	$120.23	$173.78