Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $316.23	Facility		$181.97	$245.47	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $371.54	Professional		$85.11	$138.04	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $323.59	Professional		$104.71	$194.98	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $331.13	Professional		$158.49	$229.09	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $147.91 / $257.04	Facility		$89.13	$147.91	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $316.23	Professional		$123.03	$199.53	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $269.15	Facility		$186.21	$257.04	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $245.47	Facility		$87.10	$141.25	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $331.13	Professional		$81.28	$223.87	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $302.00 / $549.54	Facility		$239.88	$302.00	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $323.59	Professional		$162.18	$234.42	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $316.23	Professional		$112.20	$204.17	$316.23