Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.74 / $189.08 / $324.44	Facility		$130.74	$189.08	$324.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $110.23 / $201.69	Professional		$78.20	$110.23	$201.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $276.72 / $315.60	Professional		$175.30	$276.72	$315.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $274.83 / $308.58	Professional		$123.42	$274.83	$308.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $218.98 / $329.23	Facility		$145.59	$218.98	$329.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $220.20 / $412.72	Professional		$153.51	$220.20	$412.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $199.92 / $261.30	Facility		$125.32	$199.92	$261.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $218.98 / $332.94	Facility		$153.13	$218.98	$332.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $198.32 / $329.80	Professional		$125.31	$198.32	$329.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $215.63 / $215.63 / $341.44	Professional		$215.63	$215.63	$341.44
United Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $193.06 / $326.62	Professional		$151.47	$193.06	$326.62