Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $891.25 / $6,606.93	Facility		$501.19	$891.25	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $870.96	Professional		$316.23	$457.09	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $954.99	Professional		$354.81	$616.60	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $977.24	Professional		$630.96	$812.83	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $812.83	Facility		$338.84	$512.86	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $912.01	Professional		$501.19	$616.60	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $724.44	Facility		$478.63	$660.69	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $776.25	Facility		$338.84	$512.86	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $660.69 / $933.25	Professional		$79.43	$660.69	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,000.00	Professional		$537.03	$707.95	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $933.25	Professional		$426.58	$630.96	$933.25