Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $338.84	Facility		$181.97	$245.47	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $436.52	Professional		$89.13	$162.18	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $323.59	Professional		$107.15	$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 $91.20 / $151.36 / $257.04	Facility		$91.20	$151.36	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $316.23	Professional		$128.82	$204.17	$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 $89.13 / $144.54 / $245.47	Facility		$89.13	$144.54	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $229.09 / $331.13	Professional		$81.28	$229.09	$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 $165.96 / $234.42 / $323.59	Professional		$165.96	$234.42	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $316.23	Professional		$114.82	$204.17	$316.23