Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.25 / $138.25 / $138.25	Facility		$138.25	$138.25	$138.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $67.65 / $187.99	Professional		$60.16	$67.65	$187.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $149.32 / $209.01	Professional		$82.33	$149.32	$209.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.26 / $154.06 / $186.88	Professional		$132.26	$154.06	$186.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $106.95 / $184.45	Facility		$69.00	$106.95	$184.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $134.76 / $202.15	Professional		$115.81	$134.76	$202.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $142.91 / $146.72	Facility		$105.14	$142.91	$146.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $120.75 / $187.07	Facility		$70.54	$120.75	$187.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $158.41 / $201.77	Professional		$132.22	$158.41	$201.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $165.72 / $206.56	Professional		$121.15	$165.72	$206.56
United Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $151.12 / $225.84	Professional		$108.51	$151.12	$225.84