Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.85 / $384.07 / $491.10	Professional		$337.85	$384.07	$491.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.40 / $444.40 / $444.40	Facility		$444.40	$444.40	$444.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.61 / $883.26 / $1,172.19	Professional		$556.61	$883.26	$1,172.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.82 / $925.12 / $1,060.44	Professional		$757.82	$925.12	$1,060.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.94 / $485.64 / $881.45	Facility		$369.94	$485.64	$881.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.39 / $368.33 / $387.72	Facility		$271.39	$368.33	$387.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.63 / $485.64 / $881.45	Facility		$382.63	$485.64	$881.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.26 / $756.05 / $1,079.43	Professional		$465.26	$756.05	$1,079.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.39 / $956.99 / $1,243.09	Facility		$713.39	$956.99	$1,243.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $593.02 / $765.86 / $1,056.46	Professional		$593.02	$765.86	$1,056.46
United Facility/Professional Professional Modifier Low / Median / High Price $591.40 / $766.50 / $1,181.05	Professional		$591.40	$766.50	$1,181.05