Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.42 / $686.42 / $1,197.77	Facility		$686.42	$686.42	$1,197.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.44 / $245.44 / $245.44	Professional		$245.44	$245.44	$245.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.45 / $447.45 / $800.04	Facility		$447.45	$447.45	$800.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $604.38 / $724.26	Professional		$275.35	$604.38	$724.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.51 / $267.08 / $605.77	Facility		$206.51	$267.08	$605.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $275.35 / $371.72	Professional		$275.35	$275.35	$371.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.35 / $308.39 / $481.86	Facility		$275.35	$308.39	$481.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.08 / $364.84 / $696.37	Facility		$267.08	$364.84	$696.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.89 / $302.89 / $391.13	Professional		$302.89	$302.89	$391.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $536.92 / $837.89 / $1,080.94	Facility		$536.92	$837.89	$1,080.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $440.24 / $518.45 / $866.50	Professional		$440.24	$518.45	$866.50
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $115.65 / $275.35	Professional		$115.65	$115.65	$275.35