Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $851.14 / $1,737.80	Facility		$186.21	$851.14	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $363.08	Professional		$125.89	$186.21	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,122.02	Facility		$630.96	$630.96	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $831.76 / $1,000.00	Professional		$380.19	$831.76	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $380.19 / $380.19	Facility		$186.21	$380.19	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $457.09 / $537.03	Professional		$218.78	$457.09	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $537.03	Facility		$380.19	$380.19	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $281.84 / $954.99	Facility		$173.78	$281.84	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $501.19	Professional		$79.43	$269.15	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,513.56	Facility		$575.44	$1,122.02	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $457.09	Professional		$302.00	$323.59	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $616.60	Facility		$457.09	$457.09	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $229.09	Professional		$81.28	$81.28	$229.09