Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,174.90 / $1,174.90	Facility		$251.19	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $316.23	Professional		$173.78	$204.17	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $758.58	Facility		$426.58	$426.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $691.83	Professional		$263.03	$562.34	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $371.54	Professional		$251.19	$288.40	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $371.54	Facility		$263.03	$263.03	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $691.83	Facility		$194.98	$354.81	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $371.54	Professional		$79.43	$288.40	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $1,023.29	Facility		$398.11	$457.09	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $316.23	Professional		$208.93	$223.87	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $416.87	Facility		$316.23	$316.23	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $316.23	Professional		$109.65	$109.65	$316.23