Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.58 / $498.58 / $870.00	Facility		$498.58	$498.58	$870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $148.00 / $194.00	Professional		$128.00	$148.00	$194.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $325.00 / $581.10	Facility		$325.00	$325.00	$581.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $438.91 / $525.96	Professional		$200.00	$438.91	$525.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $194.00 / $440.00	Facility		$150.00	$194.00	$440.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $270.00	Professional		$200.00	$200.00	$270.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $224.00 / $350.00	Facility		$200.00	$224.00	$350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $265.00 / $505.47	Facility		$194.00	$265.00	$505.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $284.10	Professional		$220.00	$220.00	$284.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $608.60 / $785.14	Facility		$390.00	$608.60	$785.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $319.49 / $376.52 / $628.82	Professional		$319.49	$376.52	$628.82
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $210.00	Professional		$84.00	$84.00	$210.00