Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $257.04	Professional		$141.25	$181.97	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $389.05	Professional		$316.23	$316.23	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $549.54	Professional		$141.25	$151.36	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $257.04 / $323.59	Facility		$102.33	$257.04	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $489.78	Professional		$194.98	$316.23	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $371.54	Facility		$257.04	$338.84	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $257.04 / $354.81	Facility		$102.33	$257.04	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $316.23 / $478.63	Professional		$79.43	$316.23	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $323.59	Professional		$295.12	$309.03	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $524.81	Professional		$181.97	$363.08	$524.81