Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $251.19	Facility		$173.78	$173.78	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $331.13	Professional		$89.13	$173.78	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 $173.78 / $173.78 / $371.54	Facility		$173.78	$173.78	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $281.84	Professional		$89.13	$173.78	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $616.60 / $616.60	Facility		$239.88	$616.60	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $363.08	Facility		$100.00	$173.78	$363.08
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 $691.83 / $851.14 / $1,071.52	Facility		$691.83	$851.14	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $1,202.26	Facility		$741.31	$912.01	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15