Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $691.83 / $707.95	Facility		$151.36	$691.83	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $186.21	Professional		$102.33	$123.03	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $457.09	Facility		$257.04	$257.04	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $338.84 / $416.87	Professional		$158.49	$338.84	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $218.78	Professional		$151.36	$173.78	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $245.47	Facility		$141.25	$173.78	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $398.11	Facility		$109.65	$213.80	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $218.78	Professional		$79.43	$173.78	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $616.60	Facility		$234.42	$457.09	$616.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $186.21	Professional		$125.89	$131.83	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $251.19	Facility		$186.21	$186.21	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $186.21	Professional		$66.07	$66.07	$186.21