Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $353.30 / $450.63	Facility		$113.40	$353.30	$450.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $37.06 / $107.94	Professional		$33.04	$37.06	$107.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $91.70 / $229.02	Professional		$45.91	$91.70	$229.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.50 / $166.29 / $204.34	Professional		$134.50	$166.29	$204.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $107.94 / $164.19	Facility		$76.61	$107.94	$164.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $75.04 / $75.04	Professional		$75.04	$75.04	$75.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $163.84 / $171.52	Facility		$137.38	$163.84	$171.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $107.94 / $183.80	Facility		$73.52	$107.94	$183.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $131.63 / $250.52	Professional		$56.54	$131.63	$250.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $181.01 / $278.17	Professional		$82.12	$181.01	$278.17
United Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $84.81 / $191.58	Professional		$38.09	$84.81	$191.58