Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.13 / $102.09 / $103.62	Facility		$75.13	$102.09	$103.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $79.04 / $102.09	Professional		$64.11	$79.04	$102.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $102.67 / $102.67	Professional		$102.67	$102.67	$102.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $177.67 / $269.13	Professional		$116.71	$177.67	$269.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $102.09 / $207.50	Facility		$71.38	$102.09	$207.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $184.14 / $301.32	Professional		$122.76	$184.14	$301.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.19 / $188.65 / $229.81	Facility		$113.19	$188.65	$229.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.30 / $102.09 / $207.50	Facility		$71.30	$102.09	$207.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $126.88 / $211.09	Professional		$79.54	$126.88	$211.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $140.22 / $267.70	Professional		$122.88	$140.22	$267.70
United Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $149.41 / $261.70	Professional		$111.50	$149.41	$261.70