Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.62 / $551.05 / $606.59	Facility		$524.62	$551.05	$606.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $354.53 / $1,074.00	Professional		$159.08	$354.53	$1,074.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.56 / $1,084.56 / $1,084.56	Facility		$1,084.56	$1,084.56	$1,084.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.92 / $585.46 / $735.59	Professional		$420.92	$585.46	$735.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.11 / $560.85 / $599.00	Professional		$251.11	$560.85	$599.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.53 / $507.46 / $700.68	Facility		$354.53	$507.46	$700.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.07 / $408.80 / $748.23	Professional		$381.07	$408.80	$748.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $318.98 / $470.67 / $522.55	Facility		$318.98	$470.67	$522.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $273.14 / $273.14	Professional		$273.14	$273.14	$273.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.10 / $632.89 / $836.05	Facility		$520.10	$632.89	$836.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.08 / $570.75 / $677.99	Professional		$360.08	$570.75	$677.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,037.60 / $1,258.55 / $1,551.28	Facility		$1,037.60	$1,258.55	$1,551.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $463.68 / $580.41 / $697.36	Professional		$463.68	$580.41	$697.36
United Facility/Professional Professional Modifier Low / Median / High Price $220.52 / $228.18 / $783.03	Professional		$220.52	$228.18	$783.03