Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.96 / $146.96 / $233.43	Facility		$146.96	$146.96	$233.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $160.97 / $233.43	Professional		$127.23	$160.97	$233.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.97 / $304.45 / $374.82	Professional		$216.97	$304.45	$374.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $233.43 / $402.55	Facility		$144.50	$233.43	$402.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $283.64 / $502.89	Professional		$171.72	$283.64	$502.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.94 / $233.43 / $408.46	Facility		$143.94	$233.43	$408.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $220.48 / $404.60	Professional		$141.06	$220.48	$404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.82 / $271.32 / $418.88	Professional		$235.82	$271.32	$418.88
United Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $348.41 / $493.13	Professional		$249.60	$348.41	$493.13