Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $707.95 / $1,737.80	Facility		$295.12	$707.95	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $416.87	Professional		$263.03	$295.12	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
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 $269.15 / $295.12 / $630.96	Facility		$269.15	$295.12	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $416.87	Professional		$263.03	$295.12	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $645.65 / $645.65	Facility		$251.19	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $295.12 / $512.86	Facility		$269.15	$295.12	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $181.97	Professional		$79.43	$181.97	$181.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $1,122.02	Facility		$707.95	$891.25	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $977.24 / $1,288.25	Facility		$794.33	$977.24	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $239.88	Professional		$199.53	$239.88	$239.88