Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.03 / $386.24 / $1,337.58	Professional		$174.03	$386.24	$1,337.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $208.25 / $208.25	Professional		$208.25	$208.25	$208.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.09 / $982.23 / $1,177.04	Professional		$441.09	$982.23	$1,177.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.95 / $463.60 / $552.32	Facility		$99.95	$463.60	$552.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $440.42 / $452.73 / $491.42	Professional		$440.42	$452.73	$491.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $417.24 / $452.73 / $602.67	Facility		$417.24	$452.73	$602.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $10.00 / $552.32	Facility		$5.61	$10.00	$552.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $208.25 / $509.96	Professional		$5.61	$208.25	$509.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $655.36 / $1,254.60 / $1,807.27	Facility		$655.36	$1,254.60	$1,807.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $352.34 / $352.34 / $370.88	Professional		$352.34	$352.34	$370.88
United Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $672.90 / $1,385.35	Professional		$271.64	$672.90	$1,385.35