Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.11 / $1,039.70 / $1,039.70	Professional		$390.11	$1,039.70	$1,039.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,561.32 / $1,561.32 / $1,561.32	Facility		$1,561.32	$1,561.32	$1,561.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.19 / $208.22 / $244.41	Professional		$182.19	$208.22	$244.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.96 / $193.66 / $552.21	Facility		$122.96	$193.66	$552.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.35 / $431.97 / $509.20	Professional		$324.35	$431.97	$509.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $145.19 / $554.79	Facility		$48.10	$145.19	$554.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.96 / $235.72 / $718.27	Facility		$122.96	$235.72	$718.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $237.95 / $575.96	Professional		$112.38	$237.95	$575.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,518.75 / $1,853.66 / $2,232.77	Facility		$1,518.75	$1,853.66	$2,232.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $216.61 / $249.19	Professional		$165.69	$216.61	$249.19
United Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $150.58 / $291.00	Professional		$82.20	$150.58	$291.00