Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $1,698.24	Facility		$263.03	$575.44	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $309.03 / $691.83	Professional		$64.57	$309.03	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,096.48	Facility		$616.60	$616.60	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $416.87 / $676.08	Professional		$52.48	$416.87	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $977.24	Professional		$371.54	$812.83	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $371.54 / $524.81	Professional		$102.33	$371.54	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $707.95	Facility		$371.54	$371.54	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $1,096.48	Facility		$275.42	$524.81	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $537.03	Professional		$79.43	$416.87	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,096.48 / $1,479.11	Facility		$562.34	$1,096.48	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $446.68	Professional		$302.00	$316.23	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $602.56	Facility		$446.68	$446.68	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $158.49 / $398.11	Professional		$38.90	$158.49	$398.11