Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $309.03 / $380.19	Facility		$177.83	$309.03	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $602.56	Professional		$112.20	$169.82	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $407.38	Professional		$151.36	$257.04	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $380.19	Professional		$239.88	$309.03	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $354.81	Facility		$138.04	$208.93	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $398.11	Professional		$154.88	$281.84	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $346.74	Facility		$251.19	$316.23	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $338.84	Facility		$138.04	$208.93	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $309.03 / $407.38	Professional		$109.65	$309.03	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $676.08	Facility		$323.59	$380.19	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $426.58	Professional		$162.18	$295.12	$426.58