Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,258.93 / $1,288.25	Facility		$275.42	$1,258.93	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $338.84	Professional		$186.21	$218.78	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $812.83	Facility		$457.09	$457.09	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $602.56 / $741.31	Professional		$281.84	$602.56	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $398.11	Professional		$275.42	$309.03	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $398.11	Facility		$281.84	$281.84	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $724.44	Facility		$213.80	$380.19	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $309.03 / $398.11	Professional		$79.43	$309.03	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $831.76 / $1,122.02	Facility		$426.58	$831.76	$1,122.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $338.84	Professional		$223.87	$239.88	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Facility		$338.84	$338.84	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $338.84	Professional		$117.49	$117.49	$338.84