Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $94.67 / $129.38	Facility		$94.67	$94.67	$129.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $98.74 / $129.38	Professional		$81.39	$98.74	$129.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $199.03 / $247.70	Professional		$141.53	$199.03	$247.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.50 / $129.38 / $263.11	Facility		$89.50	$129.38	$263.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $178.20 / $329.97	Professional		$112.67	$178.20	$329.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $203.92 / $210.80	Facility		$136.69	$203.92	$210.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $129.38 / $263.11	Facility		$89.10	$129.38	$263.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $131.86 / $248.00	Professional		$92.55	$131.86	$248.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $176.70 / $272.80	Professional		$154.72	$176.70	$272.80
United Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $201.91 / $326.74	Professional		$150.28	$201.91	$326.74