Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.75 / $479.95 / $926.80	Facility		$413.75	$479.95	$926.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $281.35 / $645.45	Professional		$66.48	$281.35	$645.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.88 / $681.80 / $961.72	Facility		$537.88	$681.80	$961.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.41 / $364.99 / $593.91	Professional		$290.41	$364.99	$593.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $726.55 / $870.65	Professional		$331.00	$726.55	$870.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.25 / $347.55 / $690.30	Facility		$248.25	$347.55	$690.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $331.00 / $446.85	Professional		$331.00	$331.00	$446.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $347.55 / $730.68	Facility		$331.00	$347.55	$730.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.55 / $418.72 / $728.20	Facility		$347.55	$418.72	$728.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $364.10 / $476.64	Professional		$331.00	$364.10	$476.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.45 / $1,007.23 / $1,299.47	Facility		$645.45	$1,007.23	$1,299.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $584.73 / $650.55 / $1,041.29	Professional		$584.73	$650.55	$1,041.29
United Facility/Professional Facility Modifier Low / Median / High Price $496.50 / $496.50 / $529.60	Facility		$496.50	$496.50	$529.60
United Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $139.02 / $347.55	Professional		$108.53	$139.02	$347.55