Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.33 / $584.62 / $1,146.59	Facility		$354.33	$584.62	$1,146.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $261.27 / $572.57	Professional		$175.00	$261.27	$572.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.70 / $754.14 / $875.58	Facility		$489.70	$754.14	$875.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $332.52 / $540.46	Professional		$264.39	$332.52	$540.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $661.92 / $793.20	Professional		$301.35	$661.92	$793.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $316.42 / $662.97	Facility		$226.01	$316.42	$662.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $406.82	Professional		$301.35	$301.35	$406.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $316.42 / $665.23	Facility		$301.35	$316.42	$665.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.42 / $381.21 / $754.14	Facility		$316.42	$381.21	$754.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.47 / $361.62 / $452.03	Professional		$320.47	$361.62	$452.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $587.63 / $917.01 / $1,183.07	Facility		$587.63	$917.01	$1,183.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $532.07 / $592.72 / $947.50	Professional		$532.07	$592.72	$947.50
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $316.42	Professional		$126.57	$126.57	$316.42