Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $512.86 / $524.81	Facility		$295.12	$512.86	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $380.19	Professional		$158.49	$213.80	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $616.60	Professional		$218.78	$389.05	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $575.44	Professional		$398.11	$489.78	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $512.86	Facility		$186.21	$288.40	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $549.54	Professional		$234.42	$398.11	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $416.87	Facility		$251.19	$407.38	$416.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $457.09	Facility		$190.55	$269.15	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $575.44	Professional		$269.15	$426.58	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $630.96	Facility		$389.05	$501.19	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $562.34	Professional		$302.00	$426.58	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $630.96	Facility		$389.05	$478.63	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $616.60	Professional		$194.98	$407.38	$616.60