Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.37 / $418.37 / $418.37	Facility		$418.37	$418.37	$418.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $296.70 / $358.12	Professional		$282.82	$296.70	$358.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $334.42 / $2,565.44	Facility		$334.42	$334.42	$2,565.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $471.64 / $1,398.52	Professional		$471.64	$471.64	$1,398.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $591.04 / $702.12 / $812.32	Professional		$591.04	$702.12	$812.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $358.12 / $599.72	Facility		$57.23	$358.12	$599.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $41.65 / $41.65	Professional		$41.65	$41.65	$41.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.79 / $500.36 / $930.34	Facility		$230.79	$500.36	$930.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $358.12 / $558.49	Facility		$57.23	$358.12	$558.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $324.64 / $527.53	Professional		$43.07	$324.64	$527.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,592.87 / $3,247.95 / $3,950.94	Facility		$2,592.87	$3,247.95	$3,950.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.18 / $663.40 / $848.96	Professional		$485.18	$663.40	$848.96
United Facility/Professional Professional Modifier Low / Median / High Price $273.33 / $337.02 / $917.49	Professional		$273.33	$337.02	$917.49