Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $218.78 / $316.23	Facility		$141.25	$218.78	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $426.58	Professional		$85.11	$158.49	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $302.00	Professional		$100.00	$181.97	$302.00
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $354.81	Professional		$346.74	$354.81	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $302.00	Professional		$151.36	$213.80	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $239.88	Facility		$85.11	$141.25	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $295.12	Professional		$112.20	$190.55	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $239.88 / $251.19	Facility		$173.78	$239.88	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $229.09	Facility		$83.18	$134.90	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $309.03	Professional		$79.43	$213.80	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $281.84 / $512.86	Facility		$218.78	$281.84	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $302.00	Professional		$151.36	$218.78	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $295.12	Professional		$107.15	$190.55	$295.12