Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.07 / $518.46 / $1,001.17	Facility		$429.07	$518.46	$1,001.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.23 / $346.83 / $1,469.90	Professional		$336.23	$346.83	$1,469.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.03 / $941.26 / $1,283.80	Facility		$581.03	$941.26	$1,283.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.63 / $410.94 / $641.50	Professional		$256.63	$410.94	$641.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.56 / $871.61 / $940.43	Professional		$357.56	$871.61	$940.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $357.56 / $745.68	Facility		$189.51	$357.56	$745.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $357.56 / $397.29 / $491.49	Professional		$357.56	$397.29	$491.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $357.56 / $400.47 / $789.31	Facility		$357.56	$400.47	$789.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $429.07 / $1,036.92	Facility		$189.51	$429.07	$1,036.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.56 / $429.07 / $585.36	Professional		$357.56	$429.07	$585.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $697.24 / $1,103.58 / $1,477.22	Facility		$697.24	$1,103.58	$1,477.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.08 / $442.34 / $881.22	Professional		$320.08	$442.34	$881.22
United Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $204.37 / $429.07	Professional		$150.18	$204.37	$429.07