Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.47 / $328.30 / $386.41	Professional		$309.47	$328.30	$386.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.89 / $360.89 / $360.89	Facility		$360.89	$360.89	$360.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $508.97 / $1,509.19	Professional		$265.33	$508.97	$1,509.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.34 / $751.26 / $861.10	Professional		$634.34	$751.26	$861.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.54 / $386.41 / $705.20	Facility		$281.54	$386.41	$705.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.07 / $531.98 / $648.55	Facility		$388.07	$531.98	$648.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.54 / $386.41 / $826.88	Facility		$281.54	$386.41	$826.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $508.97 / $732.78	Professional		$438.50	$508.97	$732.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $1,730.68 / $2,008.78	Facility		$1,318.75	$1,730.68	$2,008.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $523.63 / $708.58 / $916.23	Professional		$523.63	$708.58	$916.23
United Facility/Professional Professional Modifier Low / Median / High Price $295.66 / $406.76 / $991.24	Professional		$295.66	$406.76	$991.24