Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.16 / $489.71 / $945.64	Facility		$422.16	$489.71	$945.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $287.07 / $658.57	Professional		$66.48	$287.07	$658.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.79 / $548.79 / $981.25	Facility		$548.79	$548.79	$981.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.22 / $372.48 / $605.66	Professional		$296.22	$372.48	$605.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $741.47 / $888.52	Professional		$337.73	$741.47	$888.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.30 / $327.60 / $704.34	Facility		$253.30	$327.60	$704.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $337.73 / $455.94	Professional		$337.73	$337.73	$455.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $337.73 / $354.62 / $745.54	Facility		$337.73	$354.62	$745.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $427.23 / $743.01	Facility		$327.60	$427.23	$743.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $371.50 / $486.33	Professional		$181.34	$371.50	$486.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $641.03 / $996.95 / $1,325.89	Facility		$641.03	$996.95	$1,325.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $596.70 / $664.17 / $1,062.59	Professional		$596.70	$664.17	$1,062.59
United Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $141.85 / $337.73	Professional		$54.27	$141.85	$337.73