Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,584.89 / $1,621.81	Facility		$346.74	$1,584.89	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $426.58	Professional		$234.42	$275.42	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,023.29	Facility		$575.44	$575.44	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $758.58 / $933.25	Professional		$354.81	$758.58	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $501.19	Professional		$346.74	$389.05	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $549.54	Facility		$323.59	$389.05	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $933.25	Facility		$316.23	$489.78	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $501.19	Professional		$79.43	$389.05	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,412.54	Facility		$537.03	$1,047.13	$1,412.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $426.58	Professional		$281.84	$302.00	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $575.44	Facility		$426.58	$426.58	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $426.58	Professional		$147.91	$147.91	$426.58