Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.09 / $836.92 / $1,197.07	Facility		$776.09	$836.92	$1,197.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.28 / $512.35 / $1,019.00	Professional		$366.28	$512.35	$1,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.94 / $436.71 / $652.41	Facility		$318.94	$436.71	$652.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.20 / $850.02 / $1,239.06	Professional		$444.20	$850.02	$1,239.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $819.60 / $935.51 / $1,122.09	Professional		$819.60	$935.51	$1,122.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $377.27 / $627.69 / $1,191.70	Facility		$377.27	$627.69	$1,191.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $837.60 / $1,303.29	Professional		$663.42	$837.60	$1,303.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $580.91 / $819.60 / $910.53	Facility		$580.91	$819.60	$910.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $151.18 / $151.18	Professional		$151.18	$151.18	$151.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.87 / $998.98 / $1,296.45	Facility		$446.87	$998.98	$1,296.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.83 / $949.21 / $1,255.38	Professional		$641.83	$949.21	$1,255.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $656.85 / $782.93 / $962.78	Facility		$656.85	$782.93	$962.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $767.28 / $949.19 / $1,214.70	Professional		$767.28	$949.19	$1,214.70
United Facility/Professional Professional Modifier Low / Median / High Price $408.60 / $509.67 / $1,356.94	Professional		$408.60	$509.67	$1,356.94