Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,659.59 / $1,698.24	Facility		$363.08	$1,659.59	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $446.68	Professional		$245.47	$295.12	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,096.48	Facility		$616.60	$616.60	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $977.24	Professional		$371.54	$812.83	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $524.81	Professional		$363.08	$416.87	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Facility		$371.54	$371.54	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $524.81 / $977.24	Facility		$281.84	$524.81	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $524.81	Professional		$79.43	$416.87	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,096.48 / $1,479.11	Facility		$562.34	$1,096.48	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $446.68	Professional		$302.00	$316.23	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $602.56	Facility		$446.68	$446.68	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $446.68	Professional		$158.49	$158.49	$446.68