Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $194.98	Facility		$79.43	$125.89	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $125.89	Professional		$79.43	$79.43	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $173.78	Facility		$79.43	$79.43	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $89.13	Professional		$79.43	$79.43	$89.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $177.83 / $177.83	Facility		$69.18	$177.83	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $165.96	Facility		$79.43	$83.18	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $363.08	Facility		$186.21	$257.04	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $630.96	Facility		$389.05	$478.63	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $79.43	Professional		$40.74	$43.65	$79.43