Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.41 / $649.41 / $1,133.17	Facility		$649.41	$649.41	$1,133.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.56 / $221.43 / $252.69	Professional		$187.56	$221.43	$252.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.33 / $423.33 / $756.91	Facility		$423.33	$423.33	$756.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $571.72 / $685.12	Professional		$260.50	$571.72	$685.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.77 / $252.69 / $573.10	Facility		$192.77	$252.69	$573.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $351.68	Professional		$260.50	$260.50	$351.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $260.50 / $390.75	Facility		$260.50	$260.50	$390.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.38 / $312.60 / $685.79	Facility		$195.38	$312.60	$685.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.55 / $286.55 / $364.70	Professional		$286.55	$286.55	$364.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $701.76 / $843.50 / $1,022.64	Facility		$701.76	$843.50	$1,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.41 / $611.13 / $819.60	Professional		$416.41	$611.13	$819.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $109.41 / $312.60	Professional		$109.41	$109.41	$312.60