Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.71 / $223.71 / $223.71	Facility		$223.71	$223.71	$223.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $134.41 / $351.00	Professional		$103.36	$134.41	$351.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $239.44 / $338.40	Professional		$128.55	$239.44	$338.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.26 / $252.07 / $305.29	Professional		$214.26	$252.07	$305.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $214.01 / $300.05	Facility		$117.59	$214.01	$300.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $220.80 / $323.95	Professional		$190.00	$220.80	$323.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.48 / $233.85 / $240.53	Facility		$172.48	$233.85	$240.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $238.81 / $308.06	Facility		$118.47	$238.81	$308.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $259.02 / $330.28	Professional		$212.29	$259.02	$330.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $276.57 / $340.15	Professional		$199.52	$276.57	$340.15
United Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $267.20 / $267.20	Facility		$267.20	$267.20	$267.20
United Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $235.85 / $363.84	Professional		$161.93	$235.85	$363.84