Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $109.68 / $324.77	Facility		$99.20	$109.68	$324.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $122.33 / $241.98	Professional		$45.48	$122.33	$241.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $134.05 / $330.38	Professional		$70.08	$134.05	$330.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $131.63 / $314.02	Professional		$84.78	$131.63	$314.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $130.13 / $289.00	Facility		$57.23	$130.13	$289.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $182.93 / $286.58	Professional		$72.59	$182.93	$286.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.44 / $226.29 / $260.63	Facility		$88.44	$226.29	$260.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $147.72 / $318.79	Facility		$57.23	$147.72	$318.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $159.97 / $329.09	Professional		$84.50	$159.97	$329.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $517.89 / $739.52 / $848.88	Facility		$517.89	$739.52	$848.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $151.40 / $344.96	Professional		$84.50	$151.40	$344.96
United Facility/Professional Facility Modifier Low / Median / High Price $640.44 / $640.44 / $791.30	Facility		$640.44	$640.44	$791.30
United Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $243.35 / $375.94	Professional		$173.80	$243.35	$375.94