Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $323.59	Professional		$165.96	$239.88	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $478.63	Professional		$398.11	$398.11	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $588.84	Professional		$151.36	$162.18	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $316.23 / $398.11	Facility		$125.89	$316.23	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $537.03	Professional		$208.93	$371.54	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $416.87	Facility		$316.23	$398.11	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $316.23 / $436.52	Facility		$125.89	$316.23	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $562.34	Professional		$79.43	$371.54	$562.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $363.08	Professional		$331.13	$346.74	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $645.65	Professional		$223.87	$446.68	$645.65