Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.92 / $245.92 / $245.92	Facility		$245.92	$245.92	$245.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $134.93 / $351.02	Professional		$113.25	$134.93	$351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $269.24 / $371.93	Professional		$145.01	$269.24	$371.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $277.45 / $336.06	Professional		$235.84	$277.45	$336.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $235.28 / $335.53	Facility		$129.44	$235.28	$335.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.22 / $240.56 / $342.36	Professional		$209.22	$240.56	$342.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.35 / $257.41 / $265.99	Facility		$192.35	$257.41	$265.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.38 / $268.66 / $338.09	Facility		$130.38	$268.66	$338.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $285.12 / $362.73	Professional		$234.70	$285.12	$362.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $304.31 / $373.32	Professional		$218.97	$304.31	$373.32
United Facility/Professional Professional Modifier Low / Median / High Price $178.48 / $259.95 / $401.04	Professional		$178.48	$259.95	$401.04