Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.13 / $1,552.91 / $2,914.96	Facility		$465.13	$1,552.91	$2,914.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $233.59 / $378.16	Professional		$183.03	$233.59	$378.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.35 / $311.35 / $311.35	Facility		$311.35	$311.35	$311.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.02 / $622.62 / $802.52	Professional		$408.02	$622.62	$802.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.16 / $633.47 / $697.96	Professional		$532.16	$633.47	$697.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $378.16 / $657.05	Facility		$253.36	$378.16	$657.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.57 / $283.17 / $298.07	Facility		$222.57	$283.17	$298.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.68 / $378.16 / $657.05	Facility		$247.68	$378.16	$657.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.68 / $548.22 / $763.10	Professional		$357.68	$548.22	$763.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $1,651.93 / $2,122.73	Facility		$1,318.75	$1,651.93	$2,122.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.70 / $521.98 / $678.53	Professional		$380.70	$521.98	$678.53
United Facility/Professional Professional Modifier Low / Median / High Price $332.01 / $555.51 / $756.49	Professional		$332.01	$555.51	$756.49