Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.58 / $704.58 / $773.11	Facility		$704.58	$704.58	$773.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $479.67 / $1,317.95	Professional		$213.55	$479.67	$1,317.95
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 $555.80 / $752.61 / $975.13	Professional		$555.80	$752.61	$975.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $713.15 / $764.26	Professional		$320.39	$713.15	$764.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $479.67 / $685.93 / $938.56	Facility		$479.67	$685.93	$938.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.55 / $540.96 / $958.54	Professional		$483.55	$540.96	$958.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.50 / $597.26 / $683.93	Facility		$440.50	$597.26	$683.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $538.88 / $538.88	Professional		$351.98	$538.88	$538.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $677.52 / $813.47 / $1,064.90	Facility		$677.52	$813.47	$1,064.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.08 / $742.52 / $871.44	Professional		$464.08	$742.52	$871.44
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 $593.46 / $759.78 / $892.55	Professional		$593.46	$759.78	$892.55
United Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $319.76 / $998.47	Professional		$296.33	$319.76	$998.47