Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.23 / $486.30 / $939.06	Facility		$419.23	$486.30	$939.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.07 / $325.32 / $653.99	Professional		$285.07	$325.32	$653.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $839.30 / $1,204.16	Facility		$545.00	$839.30	$1,204.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.08 / $436.35 / $601.55	Professional		$294.08	$436.35	$601.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $736.50 / $882.56	Professional		$335.38	$736.50	$882.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.54 / $352.15 / $737.84	Facility		$251.54	$352.15	$737.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $368.92 / $456.86	Professional		$335.38	$368.92	$456.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $335.38 / $352.15 / $740.35	Facility		$335.38	$352.15	$740.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.15 / $424.26 / $972.60	Facility		$352.15	$424.26	$972.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.92 / $413.19 / $536.62	Professional		$368.92	$413.19	$536.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $653.99 / $1,035.13 / $1,385.59	Facility		$653.99	$1,035.13	$1,385.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $592.52 / $659.40 / $1,055.14	Professional		$592.52	$659.40	$1,055.14
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $140.86 / $402.46	Professional		$140.86	$140.86	$402.46