Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $91.20	Facility		$60.26	$81.28	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $154.88	Professional		$56.23	$70.79	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $138.04	Professional		$64.57	$64.57	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $169.82	Professional		$102.33	$134.90	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $190.55	Professional		$95.50	$128.82	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $144.54	Facility		$107.15	$134.90	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $181.97	Facility		$112.20	$112.20	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $141.25 / $204.17	Professional		$58.88	$141.25	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $199.53	Professional		$117.49	$165.96	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $208.93	Professional		$89.13	$131.83	$208.93