Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.45 / $935.45 / $1,632.34	Facility		$935.45	$935.45	$1,632.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.18 / $318.95 / $363.99	Professional		$270.18	$318.95	$363.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.78 / $609.78 / $1,090.28	Facility		$609.78	$609.78	$1,090.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $823.86 / $987.25	Professional		$375.25	$823.86	$987.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.44 / $363.99 / $825.55	Facility		$281.44	$363.99	$825.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $506.59	Professional		$375.25	$375.25	$506.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $394.01 / $525.35	Facility		$375.25	$394.01	$525.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.99 / $497.21 / $948.69	Facility		$363.99	$497.21	$948.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.78 / $412.78 / $533.04	Professional		$412.78	$412.78	$533.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $731.74 / $1,141.89 / $1,473.12	Facility		$731.74	$1,141.89	$1,473.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $599.44 / $706.38 / $1,179.83	Professional		$599.44	$706.38	$1,179.83
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $157.61 / $394.01	Professional		$157.61	$157.61	$394.01