Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.73 / $263.73 / $297.38	Facility		$263.73	$263.73	$297.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $93.76 / $263.73	Professional		$73.42	$93.76	$263.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $226.46 / $334.74	Professional		$126.59	$226.46	$334.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $239.52 / $298.08	Professional		$189.96	$239.52	$298.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.26 / $167.06 / $261.20	Facility		$106.26	$167.06	$261.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $198.70 / $372.41	Professional		$114.24	$198.70	$372.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $193.03 / $238.52	Facility		$97.38	$193.03	$238.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.26 / $171.72 / $302.91	Facility		$106.26	$171.72	$302.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $227.50 / $330.15	Professional		$138.88	$227.50	$330.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $196.41 / $242.25	Facility		$155.05	$196.41	$242.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.51 / $249.38 / $376.23	Professional		$223.51	$249.38	$376.23
United Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $223.08	Facility		$180.55	$180.55	$223.08
United Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $219.23 / $375.55	Professional		$116.60	$219.23	$375.55