Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.20 / $566.20 / $620.54	Facility		$566.20	$566.20	$620.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.52 / $337.57 / $1,413.27	Professional		$175.52	$337.57	$1,413.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,643.90 / $3,643.90 / $3,643.90	Facility		$3,643.90	$3,643.90	$3,643.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $603.91 / $787.37	Professional		$446.00	$603.91	$787.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $572.15 / $612.58	Professional		$256.80	$572.15	$612.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $394.39 / $588.62 / $851.70	Facility		$394.39	$588.62	$851.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.77 / $495.50 / $771.32	Professional		$370.77	$495.50	$771.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $399.78 / $497.81 / $677.28	Facility		$399.78	$497.81	$677.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $563.98 / $664.99 / $908.75	Facility		$563.98	$664.99	$908.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $616.69 / $727.10	Professional		$422.40	$616.69	$727.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,585.79 / $4,297.70 / $5,377.72	Facility		$3,585.79	$4,297.70	$5,377.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $476.28 / $610.37 / $716.31	Professional		$476.28	$610.37	$716.31
United Facility/Professional Professional Modifier Low / Median / High Price $242.04 / $296.80 / $807.94	Professional		$242.04	$296.80	$807.94