Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $6,606.93	Facility		$489.78	$831.76	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $891.25	Professional		$275.42	$354.81	$891.25
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 $331.13 / $602.56 / $933.25	Professional		$331.13	$602.56	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $954.99	Professional		$588.84	$758.58	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $794.33	Facility		$309.03	$489.78	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $891.25	Professional		$457.09	$588.84	$891.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $707.95	Facility		$436.52	$630.96	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $741.31	Facility		$309.03	$489.78	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $616.60 / $891.25	Professional		$79.43	$616.60	$891.25
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 $467.74 / $691.83 / $954.99	Professional		$467.74	$691.83	$954.99
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 $389.05 / $588.84 / $891.25	Professional		$389.05	$588.84	$891.25