Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.96 / $146.96 / $216.88	Facility		$146.96	$146.96	$216.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $164.40 / $216.88	Professional		$135.55	$164.40	$216.88
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 / $216.88 / $402.55	Facility		$144.50	$216.88	$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
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.41 / $312.63 / $347.73	Facility		$208.41	$312.63	$347.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.52 / $216.88 / $408.46	Facility		$141.52	$216.88	$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 $257.50 / $372.94 / $506.41	Professional		$257.50	$372.94	$506.41