Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $223.87 / $354.81	Facility		$123.03	$223.87	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $338.84	Professional		$77.62	$123.03	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $389.05	Professional		$141.25	$234.42	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $275.42	Professional		$173.78	$229.09	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $154.88 / $269.15	Facility		$104.71	$154.88	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $316.23	Professional		$89.13	$165.96	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $199.53 / $234.42	Facility		$144.54	$199.53	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $234.42	Facility		$102.33	$151.36	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $323.59	Professional		$79.43	$208.93	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $331.13	Professional		$186.21	$269.15	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $316.23	Professional		$112.20	$186.21	$316.23