Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.99 / $507.51 / $548.51	Facility		$225.99	$507.51	$548.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $130.86 / $278.63	Professional		$93.39	$130.86	$278.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $229.86 / $302.91	Professional		$158.05	$229.86	$302.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $251.96 / $284.19	Professional		$209.81	$251.96	$284.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.11 / $217.44 / $292.64	Facility		$136.11	$217.44	$292.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $194.04 / $348.01	Professional		$161.16	$194.04	$348.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.52 / $207.98 / $216.41	Facility		$155.52	$207.98	$216.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $268.32 / $344.50	Facility		$194.64	$268.32	$344.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $239.21 / $313.31	Professional		$172.80	$239.21	$313.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $250.81 / $304.14	Professional		$194.34	$250.81	$304.14
United Facility/Professional Professional Modifier Low / Median / High Price $133.82 / $144.00 / $341.52	Professional		$133.82	$144.00	$341.52