Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.48 / $286.48 / $318.60	Facility		$286.48	$286.48	$318.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $41.63 / $351.40	Professional		$27.34	$41.63	$351.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.21 / $247.31 / $360.43	Professional		$187.21	$247.31	$360.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $253.45 / $315.42	Professional		$201.00	$253.45	$315.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.60 / $187.01 / $376.16	Facility		$145.60	$187.01	$376.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $217.22 / $393.63	Professional		$198.02	$217.22	$393.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.51 / $225.40 / $255.27	Facility		$143.51	$225.40	$255.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.72 / $210.39 / $328.65	Facility		$148.72	$210.39	$328.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.40 / $247.99 / $362.90	Professional		$204.40	$247.99	$362.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $58.88 / $151.21	Facility		$54.33	$58.88	$151.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.51 / $272.18 / $408.20	Professional		$242.51	$272.18	$408.20
United Facility/Professional Professional Modifier Low / Median / High Price $143.86 / $228.48 / $369.00	Professional		$143.86	$228.48	$369.00