Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.03 / $429.03 / $429.03	Facility		$429.03	$429.03	$429.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.47 / $246.52 / $623.53	Professional		$195.47	$246.52	$623.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $465.67 / $648.85	Professional		$254.06	$465.67	$648.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.18 / $483.74 / $585.87	Professional		$411.18	$483.74	$585.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.66 / $410.45 / $584.98	Facility		$225.66	$410.45	$584.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.78 / $418.50 / $597.38	Professional		$371.78	$418.50	$597.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $333.82 / $448.77 / $467.16	Facility		$333.82	$448.77	$467.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.95 / $462.96 / $586.94	Facility		$227.95	$462.96	$586.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.25 / $499.32 / $630.87	Professional		$411.25	$499.32	$630.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.13 / $529.26 / $648.09	Professional		$380.13	$529.26	$648.09
United Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $481.00 / $695.56	Professional		$330.25	$481.00	$695.56