Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $891.25	Facility		$575.44	$812.83	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,096.48	Professional		$371.54	$478.63	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $812.83	Facility		$309.03	$309.03	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $1,258.93	Professional		$346.74	$645.65	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $891.25	Professional		$630.96	$724.44	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $660.69 / $1,202.26	Facility		$380.19	$660.69	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,023.29	Professional		$549.54	$758.58	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $891.25	Facility		$549.54	$691.83	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $676.08 / $1,230.27	Facility		$389.05	$676.08	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $1,122.02	Professional		$389.05	$794.33	$1,122.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,023.29	Professional		$645.65	$776.25	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,148.15	Professional		$338.84	$524.81	$1,148.15