Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.38 / $334.38 / $583.47	Facility		$334.38	$334.38	$583.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $114.01 / $130.11	Professional		$96.57	$114.01	$130.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.95 / $217.95 / $389.69	Facility		$217.95	$217.95	$389.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $294.74 / $353.19	Professional		$134.13	$294.74	$353.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.26 / $130.11 / $295.08	Facility		$99.26	$130.11	$295.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $134.13 / $181.08	Professional		$134.13	$134.13	$181.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $140.84 / $187.78	Facility		$134.13	$140.84	$187.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $160.96 / $356.07	Facility		$100.60	$160.96	$356.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $147.54 / $187.78	Professional		$147.54	$147.54	$187.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $361.33 / $434.31 / $526.54	Facility		$361.33	$434.31	$526.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.43 / $314.54 / $422.06	Professional		$214.43	$314.54	$422.06
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $140.84	Professional		$56.33	$56.33	$140.84