Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $602.56 / $602.56	Facility		$128.82	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $165.96	Professional		$87.10	$104.71	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $389.05	Facility		$218.78	$218.78	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $354.81	Professional		$134.90	$288.40	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $186.21	Professional		$128.82	$147.91	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $186.21	Facility		$134.90	$134.90	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $186.21 / $354.81	Facility		$100.00	$186.21	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $186.21	Professional		$79.43	$147.91	$186.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $524.81	Facility		$199.53	$398.11	$524.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $162.18	Professional		$107.15	$114.82	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $213.80	Facility		$162.18	$162.18	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $162.18	Professional		$56.23	$56.23	$162.18