Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.34 / $187.60 / $225.51	Facility		$125.34	$187.60	$225.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $93.87 / $223.38	Professional		$71.51	$93.87	$223.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $198.90 / $273.01	Professional		$113.05	$198.90	$273.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $177.93 / $237.24	Professional		$120.78	$177.93	$237.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $125.34 / $225.72	Facility		$79.59	$125.34	$225.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $163.85 / $268.44	Professional		$122.76	$163.85	$268.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.30 / $193.84 / $203.01	Facility		$132.30	$193.84	$203.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $120.99 / $225.72	Facility		$79.45	$120.99	$225.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $160.63 / $240.00	Professional		$90.75	$160.63	$240.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.38 / $166.17 / $245.03	Professional		$124.38	$166.17	$245.03
United Facility/Professional Professional Modifier Low / Median / High Price $142.09 / $204.25 / $318.10	Professional		$142.09	$204.25	$318.10