Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $81.28	Professional		$47.86	$64.57	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $104.71	Professional		$57.54	$57.54	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $154.88	Professional		$81.28	$117.49	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $70.79 / $120.23	Facility		$52.48	$70.79	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $154.88	Professional		$64.57	$117.49	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $134.90	Facility		$97.72	$128.82	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $69.18 / $123.03	Facility		$50.12	$69.18	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $169.82	Professional		$63.10	$95.50	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $165.96	Professional		$93.33	$114.82	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $181.97	Professional		$79.43	$125.89	$181.97