Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $1,479.11	Facility		$407.38	$616.60	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $602.56	Professional		$218.78	$281.84	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $870.96 / $954.99	Facility		$537.03	$870.96	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $354.81 / $588.84	Professional		$151.36	$354.81	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $707.95 / $870.96	Professional		$331.13	$707.95	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $331.13 / $489.78	Facility		$316.23	$331.13	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $457.09	Professional		$281.84	$331.13	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $630.96	Facility		$331.13	$331.13	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $457.09 / $954.99	Facility		$245.47	$457.09	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $478.63	Professional		$165.96	$363.08	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $1,348.96	Facility		$489.78	$977.24	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $398.11	Professional		$263.03	$281.84	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $524.81	Facility		$398.11	$398.11	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $398.11	Professional		$138.04	$138.04	$398.11