Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.13 / $553.47 / $1,068.76	Facility		$477.13	$553.47	$1,068.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.82 / $324.45 / $600.00	Professional		$274.82	$324.45	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.28 / $620.28 / $1,109.05	Facility		$620.28	$620.28	$1,109.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $421.00 / $684.98	Professional		$334.78	$421.00	$684.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $838.07 / $1,004.26	Professional		$381.70	$838.07	$1,004.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $286.27 / $371.01 / $796.04	Facility		$286.27	$371.01	$796.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $381.70 / $515.29	Professional		$381.70	$381.70	$515.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $400.79 / $842.60	Facility		$381.70	$400.79	$842.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.01 / $482.85 / $839.74	Facility		$371.01	$482.85	$839.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $419.87 / $549.65	Professional		$212.39	$419.87	$549.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $744.32 / $1,126.74 / $1,498.52	Facility		$744.32	$1,126.74	$1,498.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $673.91 / $750.59 / $1,200.08	Professional		$673.91	$750.59	$1,200.08
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $160.31 / $381.70	Professional		$63.72	$160.31	$381.70