Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $446.60 / $862.40	Facility		$385.00	$446.60	$862.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $261.80 / $600.60	Professional		$66.48	$261.80	$600.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.50 / $500.50 / $894.89	Facility		$500.50	$500.50	$894.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $339.66 / $552.79	Professional		$270.20	$339.66	$552.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $676.13 / $810.23	Professional		$308.00	$676.13	$810.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $323.39 / $642.33	Facility		$231.00	$323.39	$642.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $415.80	Professional		$308.00	$308.00	$415.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $323.39 / $679.91	Facility		$308.00	$323.39	$679.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.39 / $389.62 / $677.60	Facility		$323.39	$389.62	$677.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.74 / $338.80 / $443.52	Professional		$225.74	$338.80	$443.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $600.60 / $909.19 / $1,209.18	Facility		$600.60	$909.19	$1,209.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $544.04 / $605.65 / $968.81	Professional		$544.04	$605.65	$968.81
United Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $129.36 / $308.00	Professional		$67.55	$129.36	$308.00