Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.82 / $111.82 / $163.83	Facility		$111.82	$111.82	$163.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $121.06 / $163.83	Professional		$88.85	$121.06	$163.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.25 / $231.88 / $285.82	Professional		$165.25	$231.88	$285.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.47 / $163.83 / $305.44	Facility		$104.47	$163.83	$305.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $216.02 / $383.01	Professional		$130.78	$216.02	$383.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.47 / $163.83 / $305.44	Facility		$104.47	$163.83	$305.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $153.06 / $289.88	Professional		$107.43	$153.06	$289.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.60 / $205.20 / $316.80	Professional		$179.60	$205.20	$316.80
United Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $244.86 / $365.04	Professional		$174.72	$244.86	$365.04