Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $1,513.56	Facility		$426.58	$524.81	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $275.42 / $616.60	Professional		$70.79	$275.42	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $977.24	Facility		$549.54	$549.54	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $371.54 / $602.56	Professional		$72.44	$371.54	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $891.25	Professional		$338.84	$724.44	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $338.84 / $467.74	Professional		$141.25	$338.84	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $645.65	Facility		$338.84	$338.84	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $977.24	Facility		$251.19	$467.74	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $489.78	Professional		$79.43	$371.54	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,318.26	Facility		$501.19	$1,000.00	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $407.38	Professional		$269.15	$288.40	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $537.03	Facility		$407.38	$407.38	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $141.25 / $354.81	Professional		$54.95	$141.25	$354.81