Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $407.38	Facility		$229.09	$295.12	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $436.52	Professional		$107.15	$162.18	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $398.11	Professional		$128.82	$239.88	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $398.11	Professional		$194.98	$281.84	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $186.21 / $309.03	Facility		$114.82	$186.21	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $389.05	Professional		$158.49	$251.19	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $323.59	Facility		$223.87	$309.03	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $302.00	Facility		$109.65	$177.83	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $281.84 / $407.38	Professional		$95.50	$281.84	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $676.08	Facility		$288.40	$363.08	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $398.11	Professional		$199.53	$288.40	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $389.05	Professional		$141.25	$251.19	$389.05