Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.24 / $751.24 / $1,310.87	Facility		$751.24	$751.24	$1,310.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.97 / $256.14 / $292.31	Professional		$216.97	$256.14	$292.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.70 / $489.70 / $875.58	Facility		$489.70	$489.70	$875.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $661.92 / $793.20	Professional		$301.35	$661.92	$793.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $292.31 / $662.97	Facility		$226.01	$292.31	$662.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $406.82	Professional		$301.35	$301.35	$406.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $316.42 / $421.89	Facility		$301.35	$316.42	$421.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.31 / $399.29 / $761.94	Facility		$292.31	$399.29	$761.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $331.49 / $428.07	Professional		$331.49	$331.49	$428.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $587.63 / $917.01 / $1,183.01	Facility		$587.63	$917.01	$1,183.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $481.39 / $567.73 / $947.50	Professional		$481.39	$567.73	$947.50
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $316.42	Professional		$126.57	$126.57	$316.42