Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $239.88	Facility		$147.91	$147.91	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $239.88	Professional		$147.91	$181.97	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $380.19	Professional		$154.88	$331.13	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $512.86	Facility		$239.88	$338.84	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $602.56	Professional		$257.04	$363.08	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $380.19	Facility		$302.00	$363.08	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $478.63	Facility		$239.88	$338.84	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $478.63	Professional		$79.43	$144.54	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $501.19	Professional		$245.47	$371.54	$501.19