Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $309.03	Facility		$302.00	$302.00	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $331.13	Professional		$186.21	$263.03	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $645.65 / $758.58	Professional		$295.12	$645.65	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $436.52 / $660.69	Facility		$257.04	$436.52	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $316.23	Professional		$199.53	$234.42	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $575.44	Facility		$478.63	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $436.52	Facility		$257.04	$309.03	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $691.83	Professional		$79.43	$257.04	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $1,174.90	Facility		$398.11	$630.96	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $758.58	Professional		$288.40	$426.58	$758.58