Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $158.49	Facility		$97.72	$147.91	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $147.91	Professional		$93.33	$109.65	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $371.54	Professional		$147.91	$239.88	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $147.91 / $186.21	Facility		$95.50	$147.91	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $389.05	Professional		$117.49	$251.19	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $316.23	Facility		$204.17	$263.03	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $213.80	Facility		$95.50	$117.49	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $331.13	Professional		$79.43	$154.88	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $389.05	Professional		$186.21	$234.42	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $371.54	Professional		$151.36	$208.93	$371.54