Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $346.74	Facility		$151.36	$302.00	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $562.34	Professional		$123.03	$173.78	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $457.09	Professional		$190.55	$316.23	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $346.74	Professional		$223.87	$288.40	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $218.78 / $398.11	Facility		$141.25	$218.78	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $436.52	Professional		$141.25	$251.19	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $323.59	Facility		$223.87	$269.15	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $208.93 / $354.81	Facility		$134.90	$208.93	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $309.03 / $416.87	Professional		$79.43	$309.03	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $371.54 / $562.34	Facility		$204.17	$371.54	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $436.52	Professional		$177.83	$302.00	$436.52