Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.68 / $461.68 / $805.62	Facility		$461.68	$461.68	$805.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $157.41 / $179.64	Professional		$133.34	$157.41	$179.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $300.95 / $538.10	Facility		$300.95	$300.95	$538.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $406.95 / $487.68	Professional		$185.20	$406.95	$487.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $179.64 / $407.44	Facility		$138.90	$179.64	$407.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $250.02	Professional		$185.20	$185.20	$250.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $194.46 / $259.27	Facility		$185.20	$194.46	$259.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.64 / $245.39 / $468.12	Facility		$179.64	$245.39	$468.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.72 / $203.72 / $259.27	Professional		$203.72	$203.72	$259.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $361.14 / $563.55 / $727.04	Facility		$361.14	$563.55	$727.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.20 / $348.92 / $582.99	Professional		$296.20	$348.92	$582.99
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $194.46	Professional		$77.78	$77.78	$194.46