Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.68 / $877.95 / $1,153.84	Facility		$741.68	$877.95	$1,153.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.22 / $492.18 / $877.95	Professional		$378.22	$492.18	$877.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.86 / $352.42 / $402.27	Facility		$223.86	$352.42	$402.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.32 / $779.90 / $1,133.26	Professional		$387.32	$779.90	$1,133.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.96 / $833.80 / $967.81	Professional		$699.96	$833.80	$967.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $464.91 / $698.28 / $1,154.25	Facility		$464.91	$698.28	$1,154.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.50 / $775.53 / $1,164.29	Professional		$667.50	$775.53	$1,164.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.58 / $588.13 / $840.18	Facility		$356.58	$588.13	$840.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $48.13 / $48.13	Professional		$45.58	$48.13	$48.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.96 / $870.75 / $1,106.70	Facility		$468.96	$870.75	$1,106.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.48 / $844.47 / $1,126.72	Professional		$525.48	$844.47	$1,126.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $253.77 / $330.99 / $720.34	Facility		$253.77	$330.99	$720.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.78 / $865.15 / $1,058.04	Professional		$645.78	$865.15	$1,058.04
United Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $562.05 / $1,166.21	Professional		$367.50	$562.05	$1,166.21