Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.82 / $111.82 / $152.22	Facility		$111.82	$111.82	$152.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $116.70 / $152.22	Professional		$97.31	$116.70	$152.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.25 / $231.88 / $285.82	Professional		$165.25	$231.88	$285.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $152.22 / $305.44	Facility		$105.64	$152.22	$305.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $216.02 / $383.01	Professional		$130.78	$216.02	$383.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.83 / $238.10 / $245.48	Facility		$146.83	$238.10	$245.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.46 / $152.22 / $305.44	Facility		$103.46	$152.22	$305.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $153.06 / $290.12	Professional		$107.43	$153.06	$290.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.60 / $205.20 / $316.80	Professional		$179.60	$205.20	$316.80
United Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $243.22 / $372.95	Professional		$180.82	$243.22	$372.95