Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $199.53	Professional		$63.10	$95.50	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $331.13	Professional		$169.82	$269.15	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $269.15	Facility		$109.65	$134.90	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $158.49	Professional		$109.65	$120.23	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Facility		$144.54	$144.54	$154.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $147.91	Professional		$117.49	$117.49	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $316.23	Facility		$89.13	$151.36	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $147.91	Professional		$61.66	$123.03	$147.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $165.96	Professional		$158.49	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $107.15	Professional		$47.86	$63.10	$107.15