Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $660.69 / $1,659.59	Facility		$331.13	$660.69	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Professional		$316.23	$316.23	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $933.25	Facility		$302.00	$467.74	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $676.08 / $794.33	Professional		$309.03	$676.08	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $354.81 / $794.33	Facility		$169.82	$354.81	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $645.65	Professional		$190.55	$346.74	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $316.23 / $616.60	Facility		$309.03	$316.23	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $977.24	Facility		$316.23	$467.74	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $346.74 / $489.78	Professional		$79.43	$346.74	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $537.03 / $1,071.52	Facility		$295.12	$537.03	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $776.25	Facility		$316.23	$316.23	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $537.03	Professional		$371.54	$398.11	$537.03