Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $891.25 / $891.25	Facility		$194.98	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $194.98	Professional		$128.82	$151.36	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $575.44	Facility		$323.59	$323.59	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $524.81	Professional		$199.53	$426.58	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $281.84	Professional		$194.98	$218.78	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $218.78 / $309.03	Facility		$181.97	$218.78	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $275.42 / $524.81	Facility		$151.36	$275.42	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $281.84	Professional		$79.43	$218.78	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $588.84 / $776.25	Facility		$302.00	$588.84	$776.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $239.88	Professional		$158.49	$169.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $323.59	Facility		$239.88	$239.88	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $239.88	Professional		$83.18	$83.18	$239.88