Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.01 / $170.01 / $170.01	Facility		$170.01	$170.01	$170.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $182.33 / $238.84	Professional		$166.10	$182.33	$238.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.22 / $390.18 / $435.41	Professional		$175.22	$390.18	$435.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.84 / $341.54 / $513.51	Facility		$238.84	$341.54	$513.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.68 / $421.12 / $13,910.16	Professional		$295.68	$421.12	$13,910.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.96 / $362.94 / $389.64	Facility		$245.96	$362.94	$389.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.84 / $460.12 / $513.51	Facility		$238.84	$460.12	$513.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $439.64 / $507.84	Professional		$271.23	$439.64	$507.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $298.91 / $298.91 / $485.76	Professional		$298.91	$298.91	$485.76
United Facility/Professional Professional Modifier Low / Median / High Price $273.61 / $377.34 / $509.07	Professional		$273.61	$377.34	$509.07