Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $128.82	Facility		$97.72	$97.72	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $128.82	Professional		$81.28	$97.72	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $245.47	Professional		$141.25	$199.53	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $114.82 / $154.88	Facility		$85.11	$114.82	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $269.15	Professional		$100.00	$190.55	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $208.93	Facility		$144.54	$204.17	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $181.97	Facility		$85.11	$107.15	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $245.47	Professional		$79.43	$112.20	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $263.03	Professional		$154.88	$177.83	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $281.84	Professional		$134.90	$204.17	$281.84