Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.88 / $562.36 / $626.23	Facility		$551.88	$562.36	$626.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.97 / $271.72 / $394.45	Professional		$232.97	$271.72	$394.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.69 / $404.69 / $404.69	Facility		$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.69 / $519.92 / $710.54	Professional		$338.69	$519.92	$710.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.57 / $570.92 / $649.92	Professional		$474.57	$570.92	$649.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.96 / $341.14 / $633.29	Facility		$240.96	$341.14	$633.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.69 / $478.08 / $792.55	Professional		$398.69	$478.08	$792.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.62 / $495.80 / $505.18	Facility		$308.62	$495.80	$505.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.13 / $347.40 / $641.86	Facility		$246.13	$347.40	$641.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.56 / $554.16 / $693.50	Professional		$351.56	$554.16	$693.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $383.72 / $498.54 / $708.73	Professional		$383.72	$498.54	$708.73
United Facility/Professional Professional Modifier Low / Median / High Price $380.74 / $541.53 / $788.40	Professional		$380.74	$541.53	$788.40