Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.94 / $356.25 / $519.82	Facility		$215.94	$356.25	$519.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $94.41 / $365.47	Professional		$80.56	$94.41	$365.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.29 / $251.29 / $251.29	Facility		$251.29	$251.29	$251.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $230.33 / $248.51	Professional		$94.41	$230.33	$248.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.58 / $163.33 / $224.10	Facility		$91.58	$163.33	$224.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $110.88 / $132.16	Professional		$92.40	$110.88	$132.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $99.13 / $240.00	Facility		$94.41	$99.13	$240.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.57 / $119.90 / $224.10	Facility		$108.57	$119.90	$224.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $113.29 / $132.16	Professional		$100.93	$113.29	$132.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $184.10 / $287.29 / $390.05	Facility		$184.10	$287.29	$390.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $197.38 / $264.35	Professional		$113.29	$197.38	$264.35
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $39.65 / $113.29	Professional		$38.50	$39.65	$113.29