Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.31 / $190.73 / $207.62	Facility		$154.31	$190.73	$207.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $160.94 / $207.62	Professional		$132.41	$160.94	$207.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $188.67	Professional		$188.67	$188.67	$188.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $357.00 / $489.81	Professional		$233.96	$357.00	$489.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.51 / $207.62 / $407.13	Facility		$151.51	$207.62	$407.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.69 / $338.38 / $553.72	Professional		$229.69	$338.38	$553.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.39 / $345.95 / $421.43	Facility		$248.39	$345.95	$421.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $207.62 / $407.88	Facility		$147.72	$207.62	$407.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.98 / $240.59 / $430.77	Professional		$163.98	$240.59	$430.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $252.23 / $286.14 / $495.71	Professional		$252.23	$286.14	$495.71
United Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $320.26 / $529.10	Professional		$239.00	$320.26	$529.10