Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.14 / $685.14 / $1,195.51	Facility		$685.14	$685.14	$1,195.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.88 / $233.61 / $266.58	Professional		$197.88	$233.61	$266.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.60 / $446.60 / $798.52	Facility		$446.60	$446.60	$798.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $603.69 / $723.40	Professional		$274.83	$603.69	$723.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $266.58 / $604.63	Facility		$206.12	$266.58	$604.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $302.31 / $371.02	Professional		$274.83	$302.31	$371.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $302.31 / $480.95	Facility		$274.83	$302.31	$480.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.58 / $364.15 / $695.54	Facility		$266.58	$364.15	$695.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $302.31 / $390.40	Professional		$302.31	$302.31	$390.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $836.31 / $1,078.90	Facility		$535.91	$836.31	$1,078.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $439.16 / $517.79 / $864.36	Professional		$439.16	$517.79	$864.36
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $329.80	Professional		$115.43	$115.43	$329.80