Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.85 / $340.85 / $383.29	Facility		$340.85	$340.85	$383.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $144.58 / $422.71	Professional		$117.16	$144.58	$422.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $281.02 / $431.44	Professional		$160.38	$281.02	$431.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.56 / $308.33 / $383.72	Professional		$244.56	$308.33	$383.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $218.28 / $344.73	Facility		$143.83	$218.28	$344.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $251.72 / $479.57	Professional		$206.04	$251.72	$479.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.33 / $248.56 / $307.52	Facility		$177.33	$248.56	$307.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $244.45 / $391.29	Facility		$143.83	$244.45	$391.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $292.98 / $420.99	Professional		$212.98	$292.98	$420.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $282.18 / $320.63 / $486.00	Professional		$282.18	$320.63	$486.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.15 / $255.77 / $419.63	Professional		$183.15	$255.77	$419.63