Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $288.40	Facility		$117.49	$208.93	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $346.74	Professional		$79.43	$117.49	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $380.19	Professional		$141.25	$229.09	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $269.15	Professional		$173.78	$229.09	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $269.15	Facility		$100.00	$154.88	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $302.00	Professional		$91.20	$177.83	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $229.09	Facility		$147.91	$204.17	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $239.88	Facility		$100.00	$154.88	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $309.03	Professional		$79.43	$213.80	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $316.23	Professional		$181.97	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $309.03	Professional		$114.82	$190.55	$309.03