Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $389.05	Professional		$151.36	$269.15	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $1,023.29	Professional		$398.11	$870.96	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $389.05 / $478.63	Facility		$354.81	$389.05	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $426.58	Professional		$302.00	$389.05	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $407.38	Facility		$398.11	$398.11	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $251.19 / $478.63	Facility		$5.62	$251.19	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $436.52	Professional		$60.26	$169.82	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,584.89	Facility		$575.44	$776.25	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $1,047.13	Professional		$316.23	$588.84	$1,047.13