Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $102.33 / $114.82	Facility		$66.07	$102.33	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $102.33	Professional		$64.57	$75.86	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $269.15	Professional		$100.00	$169.82	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $102.33 / $134.90	Facility		$66.07	$102.33	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $281.84	Professional		$81.28	$173.78	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $190.55 / $229.09	Facility		$147.91	$190.55	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $151.36	Facility		$66.07	$83.18	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $234.42	Professional		$79.43	$112.20	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $281.84	Professional		$128.82	$162.18	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $257.04	Professional		$107.15	$147.91	$257.04