Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $524.81 / $524.81	Facility		$104.71	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $114.82	Professional		$60.26	$93.33	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $245.47	Professional		$186.21	$213.80	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $229.09	Facility		$81.28	$109.65	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $114.82	Professional		$63.10	$89.13	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $144.54 / $173.78	Facility		$57.54	$144.54	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $186.21	Facility		$60.26	$104.71	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $436.52	Professional		$79.43	$162.18	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $501.19	Facility		$309.03	$398.11	$501.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $251.19	Professional		$141.25	$177.83	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $660.69	Facility		$407.38	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $251.19	Professional		$117.49	$165.96	$251.19