Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $169.82 / $169.82	Facility		$138.04	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $165.96	Professional		$56.23	$70.79	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $199.53	Professional		$72.44	$134.90	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $173.78	Professional		$120.23	$134.90	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $144.54	Facility		$63.10	$85.11	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $186.21	Professional		$107.15	$134.90	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $147.91	Facility		$120.23	$144.54	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $158.49	Facility		$61.66	$91.20	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $199.53	Professional		$79.43	$151.36	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $194.98	Professional		$117.49	$147.91	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $204.17	Professional		$85.11	$144.54	$204.17