Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $575.44 / $1,202.26	Facility		$309.03	$575.44	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $436.52	Professional		$204.17	$316.23	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $331.13 / $812.83	Facility		$288.40	$331.13	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $426.58	Professional		$208.93	$316.23	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $457.09 / $457.09	Facility		$181.97	$457.09	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $316.23 / $537.03	Facility		$239.88	$316.23	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $158.49	Professional		$79.43	$158.49	$158.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $794.33	Facility		$512.86	$645.65	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $676.08 / $891.25	Facility		$549.54	$676.08	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $213.80	Professional		$95.50	$128.82	$213.80