Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $263.03	Professional		$134.90	$181.97	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $398.11	Professional		$331.13	$331.13	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $416.87	Professional		$107.15	$114.82	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $263.03 / $331.13	Facility		$102.33	$263.03	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $389.05	Professional		$165.96	$295.12	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $346.74	Facility		$234.42	$275.42	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $263.03 / $363.08	Facility		$102.33	$263.03	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $416.87	Professional		$79.43	$269.15	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $302.00	Professional		$234.42	$251.19	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $524.81	Professional		$186.21	$338.84	$524.81