Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.88 / $734.20 / $824.66	Facility		$382.88	$734.20	$824.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $261.79 / $574.30	Professional		$85.00	$261.79	$574.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.60 / $737.04 / $1,057.42	Facility		$478.60	$737.04	$1,057.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.27 / $383.23 / $528.12	Professional		$258.27	$383.23	$528.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $647.00 / $775.33	Professional		$294.52	$647.00	$775.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.89 / $309.25 / $647.94	Facility		$220.89	$309.25	$647.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $323.97 / $401.19	Professional		$294.52	$323.97	$401.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $309.25 / $650.15	Facility		$294.52	$309.25	$650.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.25 / $372.57 / $854.11	Facility		$309.25	$372.57	$854.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.97 / $356.37 / $471.23	Professional		$323.97	$356.37	$471.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $574.30 / $909.00 / $1,216.78	Facility		$574.30	$909.00	$1,216.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $520.10 / $579.11 / $926.18	Professional		$520.10	$579.11	$926.18
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $123.70 / $353.42	Professional		$123.70	$123.70	$353.42