Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.06 / $544.11 / $1,050.70	Facility		$469.06	$544.11	$1,050.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.18 / $318.95 / $731.74	Professional		$270.18	$318.95	$731.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.78 / $939.05 / $1,090.28	Facility		$609.78	$939.05	$1,090.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $398.73 / $673.23	Professional		$174.62	$398.73	$673.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $823.86 / $987.25	Professional		$375.25	$823.86	$987.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.44 / $394.01 / $825.55	Facility		$281.44	$394.01	$825.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $506.59	Professional		$375.25	$375.25	$506.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $394.01 / $710.35	Facility		$375.25	$394.01	$710.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.01 / $474.69 / $939.05	Facility		$394.01	$474.69	$939.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.37 / $431.40 / $540.36	Professional		$395.37	$431.40	$540.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $731.74 / $1,141.89 / $1,550.31	Facility		$731.74	$1,141.89	$1,550.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $662.54 / $737.66 / $1,179.83	Professional		$662.54	$737.66	$1,179.83
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $157.61 / $394.01	Professional		$157.61	$157.61	$394.01