Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $316.23	Professional		$125.89	$218.78	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $724.44 / $851.14	Professional		$331.13	$724.44	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $323.59 / $398.11	Facility		$295.12	$323.59	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $346.74	Professional		$245.47	$323.59	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $331.13	Facility		$323.59	$323.59	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $204.17 / $398.11	Facility		$5.62	$204.17	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $354.81	Professional		$60.26	$151.36	$354.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,288.25	Facility		$467.74	$645.65	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $851.14	Professional		$257.04	$489.78	$851.14