Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $263.05 / $263.05	Facility		$263.05	$263.05	$263.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $173.66 / $491.05	Professional		$119.85	$173.66	$491.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.26 / $283.60 / $397.00	Professional		$151.26	$283.60	$397.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.91 / $296.37 / $359.01	Professional		$251.91	$296.37	$359.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.05 / $251.66 / $366.24	Facility		$136.05	$251.66	$366.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.62 / $257.51 / $365.93	Professional		$223.62	$257.51	$365.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.30 / $274.95 / $289.44	Facility		$209.30	$274.95	$289.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.28 / $274.63 / $361.88	Facility		$138.28	$274.63	$361.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $303.12 / $386.60	Professional		$247.80	$303.12	$386.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,789.71 / $2,298.71 / $2,311.79	Facility		$1,789.71	$2,298.71	$2,311.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $324.33 / $396.05	Professional		$232.30	$324.33	$396.05
United Facility/Professional Facility Modifier Low / Median / High Price $190.91 / $190.91 / $190.91	Facility		$190.91	$190.91	$190.91
United Facility/Professional Professional Modifier Low / Median / High Price $189.98 / $277.43 / $426.88	Professional		$189.98	$277.43	$426.88