Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.96 / $501.08 / $967.60	Facility		$431.96	$501.08	$967.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.72 / $335.20 / $673.86	Professional		$255.72	$335.20	$673.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.54 / $864.79 / $1,240.74	Facility		$561.54	$864.79	$1,240.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $449.63 / $619.77	Professional		$302.95	$449.63	$619.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $758.50 / $908.94	Professional		$345.57	$758.50	$908.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.18 / $362.85 / $760.25	Facility		$259.18	$362.85	$760.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $345.57 / $470.73	Professional		$345.57	$345.57	$470.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $345.57 / $362.85 / $762.85	Facility		$345.57	$362.85	$762.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.85 / $437.15 / $1,002.15	Facility		$362.85	$437.15	$1,002.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.13 / $418.14 / $552.90	Professional		$380.13	$418.14	$552.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $673.86 / $1,066.58 / $1,427.69	Facility		$673.86	$1,066.58	$1,427.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $610.47 / $679.82 / $1,087.11	Professional		$610.47	$679.82	$1,087.11
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $197.51 / $414.68	Professional		$145.13	$197.51	$414.68