Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $363.08	Facility		$218.78	$218.78	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $251.19	Professional		$72.44	$131.83	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $407.38	Professional		$112.20	$218.78	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $346.74	Professional		$123.03	$218.78	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $245.47	Facility		$79.43	$147.91	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $323.59	Professional		$91.20	$173.78	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $309.03	Facility		$194.98	$295.12	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $239.88	Facility		$77.62	$144.54	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $371.54	Professional		$83.18	$190.55	$371.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $354.81	Professional		$147.91	$229.09	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $380.19	Professional		$131.83	$223.87	$380.19