Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $338.84	Facility		$173.78	$316.23	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $288.40	Professional		$125.89	$154.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $380.19	Professional		$154.88	$251.19	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $295.12	Professional		$186.21	$245.47	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $162.18 / $288.40	Facility		$125.89	$162.18	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $338.84	Professional		$165.96	$251.19	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $295.12	Facility		$223.87	$269.15	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $323.59	Facility		$117.49	$177.83	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $275.42 / $371.54	Professional		$79.43	$275.42	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,174.90	Facility		$707.95	$1,000.00	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $363.08	Professional		$213.80	$288.40	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,071.52	Facility		$660.69	$812.83	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $389.05	Professional		$177.83	$281.84	$389.05