Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $275.42 / $676.08	Facility		$177.83	$275.42	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $302.00	Professional		$100.00	$114.82	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $316.23	Professional		$151.36	$229.09	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $288.40	Professional		$112.20	$245.47	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $295.12	Facility		$134.90	$204.17	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $346.74	Professional		$162.18	$199.53	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $218.78	Facility		$177.83	$208.93	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $346.74	Facility		$134.90	$213.80	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $295.12	Professional		$79.43	$199.53	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $288.40	Professional		$194.98	$223.87	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $309.03	Professional		$128.82	$141.25	$309.03