Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.91 / $559.38 / $625.29	Facility		$548.91	$559.38	$625.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.65 / $274.01 / $392.27	Professional		$231.65	$274.01	$392.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $400.86 / $400.86	Facility		$400.86	$400.86	$400.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.16 / $509.95 / $696.46	Professional		$331.16	$509.95	$696.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.04 / $565.49 / $643.73	Professional		$470.04	$565.49	$643.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.07 / $338.19 / $629.97	Facility		$238.07	$338.19	$629.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $394.94 / $473.60 / $785.10	Professional		$394.94	$473.60	$785.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $491.11 / $505.18	Facility		$306.16	$491.11	$505.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.13 / $345.38 / $639.28	Facility		$244.13	$345.38	$639.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.20 / $550.80 / $689.39	Professional		$349.20	$550.80	$689.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $496.54 / $695.25	Professional		$382.19	$496.54	$695.25
United Facility/Professional Professional Modifier Low / Median / High Price $379.21 / $527.77 / $785.23	Professional		$379.21	$527.77	$785.23