Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.43 / $461.88 / $562.55	Professional		$409.43	$461.88	$562.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.35 / $538.35 / $538.35	Facility		$538.35	$538.35	$538.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.02 / $1,074.55 / $1,420.00	Professional		$650.02	$1,074.55	$1,420.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.41 / $1,119.93 / $1,283.75	Professional		$917.41	$1,119.93	$1,283.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $539.73 / $1,004.30	Facility		$441.55	$539.73	$1,004.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.22 / $425.09 / $447.46	Facility		$313.22	$425.09	$447.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $539.73 / $1,020.90	Facility		$441.55	$539.73	$1,020.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $536.95 / $872.90 / $1,307.61	Professional		$536.95	$872.90	$1,307.61
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 $718.39 / $904.44 / $1,285.76	Professional		$718.39	$904.44	$1,285.76
United Facility/Professional Professional Modifier Low / Median / High Price $682.39 / $952.18 / $1,362.76	Professional		$682.39	$952.18	$1,362.76