Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $162.18	Professional		$79.43	$107.15	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $338.84	Professional		$169.82	$275.42	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $123.03 / $208.93	Facility		$97.72	$123.03	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $162.18	Professional		$114.82	$125.89	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $158.49	Facility		$147.91	$147.91	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $147.91 / $234.42	Facility		$87.10	$147.91	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $151.36	Professional		$63.10	$128.82	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $169.82	Professional		$162.18	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $109.65	Professional		$48.98	$64.57	$109.65