Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.86 / $900.86 / $1,571.96	Facility		$900.86	$900.86	$1,571.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.19 / $307.16 / $350.53	Professional		$260.19	$307.16	$350.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.23 / $587.23 / $1,049.96	Facility		$587.23	$587.23	$1,049.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.37 / $793.31 / $950.66	Professional		$361.37	$793.31	$950.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.02 / $379.44 / $795.01	Facility		$271.02	$379.44	$795.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.37 / $361.37 / $487.85	Professional		$361.37	$361.37	$487.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.37 / $379.44 / $505.92	Facility		$361.37	$379.44	$505.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.30 / $433.64 / $994.34	Facility		$343.30	$433.64	$994.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.51 / $397.51 / $505.92	Professional		$397.51	$397.51	$505.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $632.40 / $1,264.80 / $1,418.70	Facility		$632.40	$1,264.80	$1,418.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $433.64 / $891.06 / $1,139.21	Professional		$433.64	$891.06	$1,139.21
United Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $151.78 / $433.64	Professional		$151.78	$151.78	$433.64