Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $478.63 / $1,445.44	Facility		$398.11	$478.63	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $251.19 / $758.58	Professional		$95.50	$251.19	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $954.99	Facility		$524.81	$524.81	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $323.59 / $588.84	Professional		$75.86	$323.59	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $707.95 / $831.76	Professional		$323.59	$707.95	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $389.05	Facility		$323.59	$323.59	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $323.59 / $436.52	Professional		$158.49	$323.59	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $616.60	Facility		$323.59	$323.59	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $954.99	Facility		$295.12	$457.09	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $323.59 / $457.09	Professional		$79.43	$323.59	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $954.99 / $1,288.25	Facility		$489.78	$954.99	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $275.42 / $389.05	Professional		$117.49	$275.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $524.81	Facility		$389.05	$389.05	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $389.05	Professional		$66.07	$138.04	$389.05