Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $87.10	Professional		$60.26	$69.18	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $190.55	Professional		$123.03	$154.88	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $91.20 / $147.91	Facility		$66.07	$91.20	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $199.53	Professional		$91.20	$154.88	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $154.88	Facility		$114.82	$151.36	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $93.33 / $151.36	Facility		$64.57	$93.33	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $208.93	Professional		$72.44	$151.36	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $208.93	Professional		$114.82	$158.49	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $204.17	Professional		$83.18	$141.25	$204.17