Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.10 / $376.10 / $419.65	Facility		$376.10	$376.10	$419.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $222.13 / $797.60	Professional		$168.29	$222.13	$797.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $369.27 / $496.61	Professional		$221.00	$369.27	$496.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.07 / $347.00 / $439.86	Professional		$288.07	$347.00	$439.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.42 / $324.73 / $451.35	Facility		$169.42	$324.73	$451.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.18 / $306.60 / $420.10	Professional		$256.18	$306.60	$420.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $235.75 / $314.95 / $356.32	Facility		$235.75	$314.95	$356.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.94 / $348.23 / $451.35	Facility		$174.94	$348.23	$451.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.60 / $375.97 / $470.81	Professional		$303.60	$375.97	$470.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $1,190.78 / $1,341.28	Facility		$872.64	$1,190.78	$1,341.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $390.64 / $479.44	Professional		$320.39	$390.64	$479.44
United Facility/Professional Professional Modifier Low / Median / High Price $249.90 / $354.76 / $533.33	Professional		$249.90	$354.76	$533.33