Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $933.25	Facility		$162.18	$263.03	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $229.09	Professional		$100.00	$181.97	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $263.03	Professional		$186.21	$223.87	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $380.19	Facility		$102.33	$181.97	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $288.40	Professional		$102.33	$181.97	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $93.33	Facility		$70.79	$85.11	$93.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $81.28	Professional		$72.44	$72.44	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $177.83 / $288.40	Facility		$102.33	$177.83	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $275.42	Professional		$81.28	$81.28	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $630.96	Facility		$389.05	$501.19	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $354.81	Professional		$158.49	$234.42	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,071.52	Facility		$660.69	$812.83	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $501.19	Professional		$173.78	$346.74	$501.19