Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.56 / $876.56 / $966.14	Facility		$876.56	$876.56	$966.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.26 / $532.83 / $1,039.36	Professional		$332.26	$532.83	$1,039.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.04 / $430.24 / $1,479.89	Facility		$288.04	$430.24	$1,479.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $791.16 / $1,223.73	Professional		$413.35	$791.16	$1,223.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.44 / $865.32 / $1,015.97	Professional		$743.44	$865.32	$1,015.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $750.05 / $1,398.87	Facility		$425.00	$750.05	$1,398.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.44 / $757.50 / $1,193.58	Professional		$600.44	$757.50	$1,193.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.74 / $773.18 / $1,174.35	Facility		$600.74	$773.18	$1,174.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $274.64 / $345.96	Professional		$274.64	$274.64	$345.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $971.74 / $1,398.87	Facility		$475.00	$971.74	$1,398.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $642.19 / $928.98 / $1,175.94	Professional		$642.19	$928.98	$1,175.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $782.93 / $1,629.13 / $2,063.57	Facility		$782.93	$1,629.13	$2,063.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $697.25 / $903.48 / $1,103.83	Professional		$697.25	$903.48	$1,103.83
United Facility/Professional Professional Modifier Low / Median / High Price $373.12 / $710.81 / $1,293.16	Professional		$373.12	$710.81	$1,293.16