Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.57 / $119.57 / $119.57	Facility		$119.57	$119.57	$119.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $58.47 / $163.68	Professional		$52.00	$58.47	$163.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $130.03 / $181.02	Professional		$71.70	$130.03	$181.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $133.44 / $161.88	Professional		$114.56	$133.44	$161.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $92.64 / $160.65	Facility		$59.77	$92.64	$160.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $117.18 / $175.13	Professional		$100.34	$117.18	$175.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.09 / $123.81 / $127.97	Facility		$91.09	$123.81	$127.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $104.60 / $161.32	Facility		$61.39	$104.60	$161.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $137.52 / $174.59	Professional		$115.33	$137.52	$174.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $143.50 / $178.13	Professional		$104.48	$143.50	$178.13
United Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $131.61 / $197.83	Professional		$91.68	$131.61	$197.83