Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,230.27 / $1,230.27	Facility		$263.03	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $309.03	Professional		$165.96	$208.93	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $794.33	Facility		$446.68	$446.68	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $724.44	Professional		$275.42	$588.84	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $389.05	Professional		$263.03	$302.00	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $389.05	Facility		$275.42	$275.42	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $380.19 / $724.44	Facility		$204.17	$380.19	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $302.00 / $389.05	Professional		$79.43	$302.00	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $1,071.52	Facility		$416.87	$812.83	$1,071.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $331.13	Professional		$218.78	$234.42	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Facility		$331.13	$331.13	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $295.12	Professional		$104.71	$104.71	$295.12