Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $275.42	Facility		$138.04	$181.97	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $389.05	Professional		$66.07	$123.03	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $263.03	Professional		$81.28	$151.36	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $269.15	Professional		$120.23	$181.97	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $117.49 / $208.93	Facility		$67.61	$117.49	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $257.04	Professional		$97.72	$158.49	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $218.78	Facility		$147.91	$208.93	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $112.20 / $199.53	Facility		$66.07	$112.20	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $269.15	Professional		$79.43	$173.78	$269.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $457.09	Facility		$190.55	$245.47	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $263.03	Professional		$125.89	$186.21	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $251.19	Professional		$89.13	$158.49	$251.19