Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.27 / $422.85 / $465.60	Facility		$417.27	$422.85	$465.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $282.77 / $865.64	Professional		$126.42	$282.77	$865.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.82 / $1,452.82 / $1,452.82	Facility		$1,452.82	$1,452.82	$1,452.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.04 / $450.30 / $569.55	Professional		$327.04	$450.30	$569.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.75 / $432.24 / $462.18	Professional		$193.75	$432.24	$462.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $282.77 / $404.38 / $541.48	Facility		$282.77	$404.38	$541.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $321.44 / $575.40	Professional		$293.55	$321.44	$575.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $362.23 / $404.34	Facility		$274.83	$362.23	$404.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.38 / $483.82 / $641.70	Facility		$404.38	$483.82	$641.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.36 / $443.04 / $520.72	Professional		$283.36	$443.04	$520.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,330.32 / $1,633.57 / $2,021.80	Facility		$1,330.32	$1,633.57	$2,021.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.58 / $450.82 / $536.29	Professional		$356.58	$450.82	$536.29
United Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $222.89 / $602.16	Professional		$175.16	$222.89	$602.16