Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $190.55 / $323.59	Facility		$114.82	$190.55	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $186.21	Professional		$77.62	$112.20	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $316.23	Professional		$173.78	$275.42	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $331.13	Professional		$120.23	$275.42	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $331.13	Facility		$138.04	$181.97	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $354.81	Professional		$93.33	$186.21	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $213.80 / $263.03	Facility		$138.04	$213.80	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $275.42	Facility		$144.54	$169.82	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $316.23	Professional		$79.43	$144.54	$316.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $338.84	Professional		$93.33	$194.98	$338.84