Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $102.18 / $157.97	Professional		$82.92	$102.18	$157.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $193.55 / $234.29	Professional		$153.44	$193.55	$234.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $166.16 / $238.85	Facility		$90.24	$166.16	$238.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $174.34 / $246.39	Professional		$146.77	$174.34	$246.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.13 / $179.56 / $194.30	Facility		$136.13	$179.56	$194.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.36 / $201.47 / $238.85	Facility		$99.36	$201.47	$238.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $200.75 / $256.08	Professional		$81.84	$200.75	$256.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $211.86 / $260.56	Professional		$148.91	$211.86	$260.56
United Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $199.49 / $289.04	Professional		$132.54	$199.49	$289.04