Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.14 / $685.14 / $1,195.51	Facility		$685.14	$685.14	$1,195.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.88 / $233.61 / $266.58	Professional		$197.88	$233.61	$266.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.60 / $446.60 / $798.52	Facility		$446.60	$446.60	$798.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $603.69 / $723.40	Professional		$274.83	$603.69	$723.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $266.58 / $604.63	Facility		$206.12	$266.58	$604.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $371.02	Professional		$274.83	$274.83	$371.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $288.57 / $384.76	Facility		$274.83	$288.57	$384.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.35 / $329.80 / $700.52	Facility		$247.35	$329.80	$700.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $302.31 / $384.76	Professional		$302.31	$302.31	$384.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.66 / $889.90 / $1,078.90	Facility		$549.66	$889.90	$1,078.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $439.16 / $540.32 / $864.36	Professional		$439.16	$540.32	$864.36
United Facility/Professional Facility Modifier Low / Median / High Price $412.25 / $412.25 / $439.73	Facility		$412.25	$412.25	$439.73
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $288.57	Professional		$115.43	$115.43	$288.57