Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.77 / $390.77 / $681.86	Facility		$390.77	$390.77	$681.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $133.24 / $152.05	Professional		$112.86	$133.24	$152.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.73 / $254.73 / $455.45	Facility		$254.73	$254.73	$455.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $344.45 / $412.77	Professional		$156.75	$344.45	$412.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $152.05 / $344.85	Facility		$116.00	$152.05	$344.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $156.75 / $211.61	Professional		$156.75	$156.75	$211.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $175.56 / $274.31	Facility		$156.75	$175.56	$274.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $188.10 / $400.06	Facility		$117.56	$188.10	$400.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $172.43 / $219.45	Professional		$172.43	$172.43	$219.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.50 / $507.56 / $615.35	Facility		$313.50	$507.56	$615.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.71 / $308.27 / $493.47	Professional		$250.71	$308.27	$493.47
United Facility/Professional Facility Modifier Low / Median / High Price $188.10 / $188.10 / $188.10	Facility		$188.10	$188.10	$188.10
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $65.84 / $156.75	Professional		$65.84	$65.84	$156.75