Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $165.08 / $186.94	Facility		$140.61	$165.08	$186.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $86.77 / $431.00	Professional		$72.01	$86.77	$431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $158.82 / $224.53	Professional		$88.46	$158.82	$224.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $164.58 / $195.26	Professional		$141.22	$164.58	$195.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $141.25 / $199.75	Facility		$75.20	$141.25	$199.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $133.93 / $227.73	Professional		$117.41	$133.93	$227.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $145.58 / $155.72	Facility		$112.40	$145.58	$155.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $43.82 / $43.82	Professional		$43.82	$43.82	$43.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.61 / $175.97 / $224.00	Facility		$88.61	$175.97	$224.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $164.28 / $219.22	Professional		$132.75	$164.28	$219.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.26 / $180.18 / $212.90	Professional		$140.26	$180.18	$212.90
United Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $88.66 / $232.07	Professional		$80.12	$88.66	$232.07