Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.94 / $654.94 / $1,142.83	Facility		$654.94	$654.94	$1,142.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.16 / $223.31 / $254.84	Professional		$189.16	$223.31	$254.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.93 / $426.93 / $763.34	Facility		$426.93	$426.93	$763.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $576.70 / $691.08	Professional		$262.72	$576.70	$691.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $275.86 / $577.98	Facility		$197.04	$275.86	$577.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $262.72 / $354.67	Professional		$262.72	$262.72	$354.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.72 / $275.86 / $367.81	Facility		$262.72	$275.86	$367.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.58 / $315.26 / $722.10	Facility		$249.58	$315.26	$722.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.99 / $288.99 / $367.81	Professional		$288.99	$288.99	$367.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $459.76 / $919.52 / $1,031.41	Facility		$459.76	$919.52	$1,031.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $315.26 / $647.37 / $827.66	Professional		$315.26	$647.37	$827.66
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $110.34 / $275.86	Professional		$110.34	$110.34	$275.86