Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $91.20	Facility		$70.79	$70.79	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $91.20	Professional		$58.88	$69.18	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $177.83	Professional		$102.33	$144.54	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $114.82	Facility		$60.26	$81.28	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $194.98	Professional		$70.79	$138.04	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $147.91	Facility		$102.33	$144.54	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $128.82	Facility		$60.26	$77.62	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $173.78	Professional		$69.18	$79.43	$173.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $186.21	Professional		$109.65	$125.89	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $199.53	Professional		$100.00	$147.91	$199.53