Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.73 / $736.73 / $736.73	Facility		$736.73	$736.73	$736.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $158.44 / $189.39	Professional		$156.16	$158.44	$189.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.12 / $237.65 / $304.19	Facility		$190.12	$237.65	$304.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $80.54 / $85.57	Professional		$68.75	$80.54	$85.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $189.39 / $407.19	Facility		$56.61	$189.39	$407.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $63.36 / $69.01	Facility		$41.41	$63.36	$69.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.39 / $237.65 / $407.19	Facility		$189.39	$237.65	$407.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $70.66 / $211.55	Professional		$70.66	$70.66	$211.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.36 / $301.33 / $340.17	Facility		$209.36	$301.33	$340.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $84.61 / $306.87	Professional		$58.71	$84.61	$306.87
United Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $168.54 / $397.65	Professional		$88.93	$168.54	$397.65