Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.05 / $163.38 / $183.50	Facility		$90.05	$163.38	$183.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $77.04 / $115.56	Professional		$64.37	$77.04	$115.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $171.18 / $221.16	Professional		$95.10	$171.18	$221.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $154.63 / $195.53	Professional		$102.57	$154.63	$195.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $90.05 / $183.43	Facility		$67.20	$90.05	$183.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $144.26 / $236.59	Professional		$90.57	$144.26	$236.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $148.07 / $166.16	Facility		$98.26	$148.07	$166.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $90.05 / $183.43	Facility		$67.08	$90.05	$183.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $138.88 / $204.00	Professional		$73.14	$138.88	$204.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $133.38 / $203.73	Professional		$107.81	$133.38	$203.73
United Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $161.47 / $252.96	Professional		$115.68	$161.47	$252.96