Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $102.33	Professional		$70.79	$79.43	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $218.78	Professional		$144.54	$177.83	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $169.82	Facility		$75.86	$107.15	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $229.09	Professional		$104.71	$177.83	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $177.83	Facility		$134.90	$173.78	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $177.83	Facility		$75.86	$107.15	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $177.83 / $239.88	Professional		$83.18	$177.83	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $239.88	Professional		$131.83	$181.97	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $239.88	Professional		$97.72	$165.96	$239.88