Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $67.48 / $92.88	Facility		$67.48	$67.48	$92.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $70.48 / $92.88	Professional		$57.91	$70.48	$92.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $142.26 / $177.05	Professional		$101.00	$142.26	$177.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.94 / $92.88 / $189.24	Facility		$63.94	$92.88	$189.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $132.85 / $235.54	Professional		$80.43	$132.85	$235.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $145.53 / $150.96	Facility		$97.58	$145.53	$150.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.83 / $92.88 / $189.24	Facility		$63.83	$92.88	$189.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $94.13 / $177.60	Professional		$66.06	$94.13	$177.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $126.54 / $195.36	Professional		$110.45	$126.54	$195.36
United Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $146.74 / $229.99	Professional		$106.92	$146.74	$229.99