Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.89 / $477.79 / $922.63	Facility		$411.89	$477.79	$922.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.25 / $280.08 / $642.54	Professional		$237.25	$280.08	$642.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.45 / $824.59 / $957.38	Facility		$535.45	$824.59	$957.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $350.14 / $590.98	Professional		$153.33	$350.14	$590.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $723.72 / $867.24	Professional		$329.51	$723.72	$867.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.13 / $345.99 / $724.92	Facility		$247.13	$345.99	$724.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $444.84	Professional		$329.51	$329.51	$444.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $345.99 / $623.76	Facility		$329.51	$345.99	$623.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.99 / $416.83 / $824.59	Facility		$345.99	$416.83	$824.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.18 / $378.94 / $494.27	Professional		$347.18	$378.94	$494.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $642.54 / $1,002.70 / $1,361.34	Facility		$642.54	$1,002.70	$1,361.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $581.74 / $647.84 / $1,035.96	Professional		$581.74	$647.84	$1,035.96
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $395.41	Professional		$138.38	$138.38	$395.41