Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $478.63 / $524.81	Facility		$257.04	$478.63	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $363.08	Professional		$186.21	$218.78	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $575.44	Professional		$218.78	$371.54	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $537.03	Professional		$331.13	$426.58	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $478.63	Facility		$190.55	$263.03	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $602.56	Professional		$218.78	$416.87	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $407.38 / $416.87	Facility		$281.84	$407.38	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $257.04 / $426.58	Facility		$190.55	$257.04	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $549.54	Professional		$245.47	$416.87	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $562.34	Professional		$323.59	$407.38	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $588.84	Professional		$257.04	$407.38	$588.84