Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $147.09 / $155.90	Facility		$115.96	$147.09	$155.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $123.94 / $155.90	Professional		$99.34	$123.94	$155.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $145.22 / $145.22	Professional		$145.22	$145.22	$145.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $267.82 / $377.74	Professional		$175.28	$267.82	$377.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.82 / $155.90 / $313.99	Facility		$115.82	$155.90	$313.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.46 / $260.45 / $426.20	Professional		$175.46	$260.45	$426.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.22 / $266.75 / $324.95	Facility		$178.22	$266.75	$324.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.12 / $155.90 / $314.16	Facility		$113.12	$155.90	$314.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $184.73 / $323.50	Professional		$123.53	$184.73	$323.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.05 / $214.89 / $382.23	Professional		$189.05	$214.89	$382.23
United Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $245.22 / $406.18	Professional		$183.00	$245.22	$406.18