Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.55 / $468.29 / $904.29	Facility		$387.55	$468.29	$904.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.69 / $313.27 / $1,327.65	Professional		$303.69	$313.27	$1,327.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.79 / $850.18 / $1,159.56	Facility		$524.79	$850.18	$1,159.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.77 / $370.87 / $579.23	Professional		$231.77	$370.87	$579.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $787.23 / $849.38	Professional		$322.95	$787.23	$849.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $322.95 / $673.53	Facility		$171.17	$322.95	$673.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $358.85 / $443.93	Professional		$322.95	$358.85	$443.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $355.26 / $712.93	Facility		$322.95	$355.26	$712.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $387.55 / $936.58	Facility		$171.17	$387.55	$936.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $387.55 / $528.72	Professional		$322.95	$387.55	$528.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $629.77 / $996.80 / $1,334.28	Facility		$629.77	$996.80	$1,334.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $399.54 / $795.88	Professional		$289.08	$399.54	$795.88
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $184.59 / $387.55	Professional		$135.63	$184.59	$387.55