Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.01 / $441.98 / $853.47	Facility		$381.01	$441.98	$853.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $259.08 / $594.38	Professional		$103.74	$259.08	$594.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.33 / $762.80 / $1,129.77	Facility		$495.33	$762.80	$1,129.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $336.09 / $546.91	Professional		$267.45	$336.09	$546.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $669.03 / $801.72	Professional		$304.81	$669.03	$801.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.61 / $320.05 / $670.58	Facility		$228.61	$320.05	$670.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $304.81 / $411.49	Professional		$304.81	$304.81	$411.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $320.05 / $672.87	Facility		$304.81	$320.05	$672.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.05 / $385.58 / $762.80	Facility		$320.05	$385.58	$762.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.38 / $350.53 / $438.93	Professional		$321.38	$350.53	$438.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $594.38 / $927.54 / $1,196.65	Facility		$594.38	$927.54	$1,196.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $538.04 / $599.52 / $958.15	Professional		$538.04	$599.52	$958.15
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $128.02 / $320.05	Professional		$128.02	$128.02	$320.05