Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.89 / $168.00 / $188.98	Facility		$98.89	$168.00	$188.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $82.55 / $133.84	Professional		$63.95	$82.55	$133.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $180.73 / $224.33	Professional		$91.90	$180.73	$224.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.24 / $155.87 / $199.29	Professional		$103.24	$155.87	$199.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $98.89 / $189.31	Facility		$69.27	$98.89	$189.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $144.46 / $237.67	Professional		$92.02	$144.46	$237.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.15 / $156.11 / $170.18	Facility		$100.15	$156.11	$170.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $96.79 / $192.95	Facility		$68.48	$96.79	$192.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $141.68 / $206.80	Professional		$75.56	$141.68	$206.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $139.50 / $208.66	Professional		$110.79	$139.50	$208.66
United Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $154.25 / $264.56	Professional		$114.80	$154.25	$264.56