Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.05 / $189.05 / $208.67	Facility		$189.05	$189.05	$208.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $94.78 / $214.39	Professional		$78.93	$94.78	$214.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $162.55 / $238.28	Professional		$98.11	$162.55	$238.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.81 / $177.28 / $210.83	Professional		$152.81	$177.28	$210.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.71 / $129.63 / $232.26	Facility		$82.71	$129.63	$232.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $154.26 / $219.21	Professional		$121.79	$154.26	$219.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.45 / $164.47 / $194.30	Facility		$126.45	$164.47	$194.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.71 / $151.90 / $232.26	Facility		$82.71	$151.90	$232.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $181.98 / $230.92	Professional		$122.85	$181.98	$230.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $520.64 / $618.64	Facility		$389.95	$520.64	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $183.00 / $235.91	Professional		$106.68	$183.00	$235.91
United Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $180.17 / $252.15	Professional		$120.54	$180.17	$252.15