Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,348.96 / $1,348.96	Facility		$295.12	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $363.08	Professional		$199.53	$234.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $870.96	Facility		$489.78	$489.78	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $645.65 / $794.33	Professional		$302.00	$645.65	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $407.38	Facility		$295.12	$302.00	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $426.58	Professional		$295.12	$331.13	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $426.58	Facility		$302.00	$302.00	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $776.25	Facility		$223.87	$407.38	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $426.58	Professional		$79.43	$331.13	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $1,174.90	Facility		$457.09	$891.25	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $363.08	Professional		$239.88	$257.04	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $478.63	Facility		$363.08	$363.08	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $363.08	Professional		$125.89	$125.89	$363.08