Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $489.78	Facility		$100.00	$162.18	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $112.20 / $218.78	Professional		$43.65	$112.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $323.59	Professional		$61.66	$131.83	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $323.59	Professional		$70.79	$131.83	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $128.82 / $251.19	Facility		$47.86	$128.82	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $194.98 / $302.00	Professional		$69.18	$194.98	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $263.03	Facility		$154.88	$223.87	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $120.23 / $257.04	Facility		$44.67	$120.23	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $323.59	Professional		$79.43	$120.23	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $851.14	Facility		$512.86	$707.95	$851.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $323.59	Professional		$83.18	$144.54	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $1,047.13	Facility		$645.65	$794.33	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $309.03	Professional		$66.07	$134.90	$309.03