Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.30 / $544.11 / $1,050.70	Facility		$450.30	$544.11	$1,050.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $318.95 / $731.74	Professional		$79.25	$318.95	$731.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.78 / $609.78 / $1,090.28	Facility		$609.78	$609.78	$1,090.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.96 / $413.87 / $673.23	Professional		$328.96	$413.87	$673.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $823.86 / $987.25	Professional		$375.25	$823.86	$987.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.54 / $363.99 / $782.58	Facility		$249.54	$363.99	$782.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $506.59	Professional		$375.25	$375.25	$506.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $394.01 / $828.36	Facility		$375.25	$394.01	$828.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.99 / $474.69 / $825.55	Facility		$363.99	$474.69	$825.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $412.78 / $540.36	Professional		$130.54	$412.78	$540.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $656.69 / $1,107.70 / $1,473.19	Facility		$656.69	$1,107.70	$1,473.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $662.54 / $737.66 / $1,179.83	Professional		$662.54	$737.66	$1,179.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $157.61 / $394.01	Professional		$39.06	$157.61	$394.01