Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $231.78 / $380.82	Facility		$167.26	$231.78	$380.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $141.03 / $239.72	Professional		$110.84	$141.03	$239.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $368.84 / $371.58	Professional		$356.90	$368.84	$371.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $323.87 / $364.80	Professional		$145.44	$323.87	$364.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.61 / $281.14 / $422.71	Facility		$196.61	$281.14	$422.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $249.78 / $486.98	Professional		$198.39	$249.78	$486.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.12 / $253.93 / $306.86	Facility		$184.12	$253.93	$306.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.25 / $281.14 / $388.72	Facility		$224.25	$281.14	$388.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.08 / $263.58 / $385.05	Professional		$168.08	$263.58	$385.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.75 / $251.75 / $398.64	Professional		$251.75	$251.75	$398.64
United Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $246.35 / $399.29	Professional		$146.33	$246.35	$399.29