Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.98 / $214.98 / $214.98	Facility		$214.98	$214.98	$214.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $120.81 / $294.52	Professional		$95.28	$120.81	$294.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $230.42 / $324.02	Professional		$123.48	$230.42	$324.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.31 / $242.72 / $294.00	Professional		$206.31	$242.72	$294.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.24 / $205.68 / $289.67	Facility		$113.24	$205.68	$289.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $210.81 / $299.57	Professional		$183.07	$210.81	$299.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.64 / $225.17 / $231.82	Facility		$167.64	$225.17	$231.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $229.59 / $296.89	Facility		$113.40	$229.59	$296.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.87 / $249.12 / $318.32	Professional		$203.87	$249.12	$318.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $265.79 / $327.84	Professional		$192.29	$265.79	$327.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $236.59 / $358.46	Professional		$162.24	$236.59	$358.46