Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $213.80	Facility		$158.49	$158.49	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $213.80	Professional		$134.90	$158.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $389.05	Professional		$223.87	$309.03	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $263.03	Facility		$138.04	$181.97	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $416.87	Professional		$165.96	$302.00	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $316.23 / $346.74	Facility		$234.42	$316.23	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $302.00	Facility		$138.04	$177.83	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $371.54	Professional		$79.43	$177.83	$371.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $398.11	Professional		$239.88	$269.15	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $457.09	Professional		$223.87	$346.74	$457.09