Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.53 / $891.53 / $1,555.69	Facility		$891.53	$891.53	$1,555.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $346.90 / $346.90	Professional		$4.78	$346.90	$346.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.15 / $894.97 / $1,039.09	Facility		$581.15	$894.97	$1,039.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $410.94 / $513.66	Professional		$357.52	$410.94	$513.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.63 / $872.40 / $941.29	Professional		$357.63	$872.40	$941.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.97 / $357.63 / $745.84	Facility		$210.97	$357.63	$745.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $357.63 / $357.63 / $482.80	Professional		$357.63	$357.63	$482.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $404.12 / $625.85	Facility		$357.63	$404.12	$625.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.97 / $411.27 / $894.97	Facility		$210.97	$411.27	$894.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.75 / $393.39 / $500.68	Professional		$339.75	$393.39	$500.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $697.38 / $1,088.27 / $1,403.95	Facility		$697.38	$1,088.27	$1,403.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.37 / $427.16 / $881.22	Professional		$320.37	$427.16	$881.22
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $150.19 / $429.16	Professional		$150.19	$150.19	$429.16