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 $98.59 / $131.37 / $402.18	Professional		$98.59	$131.37	$402.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.86 / $230.69 / $324.02	Professional		$123.86	$230.69	$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 $111.36 / $205.68 / $288.12	Facility		$111.36	$205.68	$288.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $210.81 / $312.13	Professional		$183.07	$210.81	$312.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.21 / $225.17 / $231.15	Facility		$165.21	$225.17	$231.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.24 / $229.53 / $296.89	Facility		$113.24	$229.53	$296.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $249.12 / $318.32	Professional		$203.33	$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 $155.47 / $226.45 / $349.35	Professional		$155.47	$226.45	$349.35