Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $142.46 / $147.25	Facility		$108.98	$142.46	$147.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $111.82 / $147.25	Professional		$91.54	$111.82	$147.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.22 / $252.61 / $369.30	Professional		$166.22	$252.61	$369.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $147.25 / $298.80	Facility		$102.71	$147.25	$298.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $252.98 / $413.96	Professional		$168.65	$252.98	$413.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.40 / $260.14 / $316.91	Facility		$158.40	$260.14	$316.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.41 / $147.25 / $298.80	Facility		$102.41	$147.25	$298.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $172.77 / $303.77	Professional		$116.06	$172.77	$303.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $201.78 / $372.77	Professional		$179.10	$201.78	$372.77
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $217.35 / $376.62	Professional		$157.50	$217.35	$376.62