Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $269.15	Facility		$120.23	$204.17	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $338.84	Professional		$72.44	$114.82	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $275.42	Professional		$97.72	$169.82	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $269.15	Professional		$158.49	$208.93	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $141.25 / $239.88	Facility		$91.20	$141.25	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $269.15	Professional		$107.15	$190.55	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $234.42	Facility		$169.82	$223.87	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $141.25 / $239.88	Facility		$91.20	$141.25	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $281.84	Professional		$79.43	$208.93	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $478.63	Facility		$213.80	$251.19	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $281.84	Professional		$109.65	$190.55	$281.84