Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $302.00 / $302.00	Facility		$245.47	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $371.54	Professional		$107.15	$147.91	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $363.08	Professional		$131.83	$245.47	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $309.03	Professional		$186.21	$239.88	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $269.15	Facility		$112.20	$154.88	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $338.84	Professional		$190.55	$245.47	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $263.03	Facility		$213.80	$257.04	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $302.00	Facility		$112.20	$173.78	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $363.08	Professional		$79.43	$269.15	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $354.81	Professional		$223.87	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $354.81	Professional		$147.91	$245.47	$354.81