Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $1,352.03 / $1,502.54	Facility		$315.70	$1,352.03	$1,502.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $178.84 / $259.55	Professional		$115.34	$178.84	$259.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.35 / $234.35 / $234.35	Facility		$234.35	$234.35	$234.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $438.00 / $544.40	Professional		$295.11	$438.00	$544.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.53 / $472.06 / $558.66	Professional		$407.53	$472.06	$558.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $256.68 / $440.20	Facility		$180.69	$256.68	$440.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $226.42 / $238.34	Facility		$169.82	$226.42	$238.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $256.68 / $440.20	Facility		$180.69	$256.68	$440.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $413.32 / $534.32	Professional		$286.01	$413.32	$534.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.39 / $956.99 / $1,243.09	Facility		$713.39	$956.99	$1,243.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $381.12 / $510.70	Professional		$287.56	$381.12	$510.70
United Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $417.34 / $599.08	Professional		$210.56	$417.34	$599.08