Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $147.91	Professional		$46.77	$87.10	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $158.49	Professional		$120.23	$138.04	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $162.18 / $346.74	Facility		$64.57	$162.18	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $147.91	Professional		$45.71	$79.43	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.89 / $165.96	Facility		$104.71	$125.89	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $234.42	Facility		$52.48	$117.49	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $346.74	Professional		$79.43	$131.83	$346.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $954.99 / $1,202.26	Facility		$758.58	$954.99	$1,202.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $288.40	Professional		$128.82	$158.49	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,513.56	Facility		$933.25	$1,148.15	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $275.42 / $537.03	Professional		$67.61	$275.42	$537.03