Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $104.71	Facility		$61.66	$91.20	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $91.20	Professional		$58.88	$70.79	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $245.47	Professional		$93.33	$154.88	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $95.50 / $123.03	Facility		$63.10	$95.50	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $257.04	Professional		$75.86	$162.18	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $213.80	Facility		$138.04	$173.78	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $79.43 / $141.25	Facility		$61.66	$79.43	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $218.78	Professional		$79.43	$102.33	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $263.03	Professional		$117.49	$147.91	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $239.88	Professional		$97.72	$144.54	$239.88