Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $213.80	Facility		$97.72	$173.78	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $147.91	Professional		$61.66	$75.86	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $223.87	Professional		$89.13	$169.82	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $194.98	Professional		$89.13	$141.25	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $81.28 / $141.25	Facility		$63.10	$81.28	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $223.87	Professional		$74.13	$147.91	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $169.82	Facility		$112.20	$162.18	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $141.25	Facility		$63.10	$77.62	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $208.93	Professional		$79.43	$125.89	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $208.93	Professional		$114.82	$147.91	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $234.42	Professional		$102.33	$154.88	$234.42