Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.81 / $887.81 / $1,549.17	Facility		$887.81	$887.81	$1,549.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $302.70 / $302.70	Professional		$256.41	$302.70	$302.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.70 / $578.70 / $1,034.72	Facility		$578.70	$578.70	$1,034.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $781.95 / $937.04	Professional		$356.13	$781.95	$937.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $267.10 / $345.45 / $783.49	Facility		$267.10	$345.45	$783.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $480.78	Professional		$356.13	$356.13	$480.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.13 / $398.87 / $623.23	Facility		$356.13	$398.87	$623.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.36 / $471.87 / $937.49	Facility		$427.36	$471.87	$937.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.74 / $391.74 / $498.58	Professional		$391.74	$391.74	$498.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $694.45 / $1,083.70 / $1,398.06	Facility		$694.45	$1,083.70	$1,398.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $569.12 / $670.90 / $1,120.16	Professional		$569.12	$670.90	$1,120.16
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $149.57 / $373.94	Professional		$149.57	$149.57	$373.94