Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $92.38 / $95.60	Facility		$68.58	$92.38	$95.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $75.48 / $92.38	Professional		$59.08	$75.48	$92.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $94.93 / $94.93	Professional		$94.93	$94.93	$94.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $161.68 / $247.96	Professional		$107.41	$161.68	$247.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $92.38 / $190.07	Facility		$68.59	$92.38	$190.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $170.26 / $278.61	Professional		$113.51	$170.26	$278.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.99 / $174.35 / $212.39	Facility		$105.99	$174.35	$212.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.01 / $92.38 / $190.07	Facility		$67.01	$92.38	$190.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $112.13 / $194.79	Professional		$73.68	$112.13	$194.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $129.38 / $247.42	Professional		$112.43	$129.38	$247.42
United Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $147.66 / $241.49	Professional		$107.00	$147.66	$241.49