Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.42 / $68.42 / $92.42	Facility		$68.42	$68.42	$92.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $71.67 / $92.42	Professional		$59.75	$71.67	$92.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $142.01 / $175.28	Professional		$101.20	$142.01	$175.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $92.42 / $183.43	Facility		$63.66	$92.42	$183.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $132.26 / $234.49	Professional		$80.06	$132.26	$234.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $145.81 / $149.60	Facility		$96.80	$145.81	$149.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $92.42 / $183.43	Facility		$63.36	$92.42	$183.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $94.13 / $178.27	Professional		$65.77	$94.13	$178.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $123.69 / $190.96	Professional		$109.45	$123.69	$190.96
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $157.50 / $217.46	Professional		$110.46	$157.50	$217.46