Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.44 / $147.44 / $1,006.32	Facility		$147.44	$147.44	$1,006.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $189.05 / $865.57	Professional		$121.29	$189.05	$865.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.46 / $396.21 / $465.22	Professional		$343.46	$396.21	$465.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.36 / $363.71 / $557.62	Facility		$259.36	$363.71	$557.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $284.73 / $350.28 / $536.76	Professional		$284.73	$350.28	$536.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $331.83 / $381.23	Facility		$272.44	$331.83	$381.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.36 / $408.49 / $495.55	Facility		$259.36	$408.49	$495.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $384.48 / $525.20	Professional		$149.69	$384.48	$525.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $324.33 / $425.02 / $500.28	Professional		$324.33	$425.02	$500.28
United Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $250.78 / $561.72	Professional		$236.03	$250.78	$561.72