Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.70 / $505.41 / $975.97	Facility		$435.70	$505.41	$975.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.13 / $296.27 / $679.69	Professional		$227.13	$296.27	$679.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.40 / $872.26 / $1,039.68	Facility		$566.40	$872.26	$1,039.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.70 / $384.61 / $625.05	Professional		$305.70	$384.61	$625.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $765.60 / $917.46	Professional		$348.56	$765.60	$917.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.42 / $365.99 / $766.83	Facility		$261.42	$365.99	$766.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $348.56 / $470.56	Professional		$348.56	$348.56	$470.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $365.99 / $769.45	Facility		$348.56	$365.99	$769.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.99 / $440.93 / $966.95	Facility		$365.99	$440.93	$966.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.78 / $400.84 / $526.33	Professional		$376.78	$400.84	$526.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $679.69 / $1,060.67 / $1,440.04	Facility		$679.69	$1,060.67	$1,440.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $615.86 / $685.26 / $1,096.71	Professional		$615.86	$685.26	$1,096.71
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $165.50 / $395.04	Professional		$146.40	$165.50	$395.04