Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.32 / $626.32 / $626.32	Facility		$626.32	$626.32	$626.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $389.23 / $1,169.00	Professional		$287.14	$389.23	$1,169.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.21 / $672.09 / $947.12	Professional		$357.21	$672.09	$947.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.58 / $707.74 / $857.23	Professional		$601.58	$707.74	$857.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.18 / $607.59 / $855.87	Facility		$330.18	$607.59	$855.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $534.25 / $612.55 / $874.23	Professional		$534.25	$612.55	$874.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $484.50 / $656.59 / $672.01	Facility		$484.50	$656.59	$672.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.69 / $646.53 / $858.96	Facility		$333.69	$646.53	$858.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $590.50 / $722.16 / $921.05	Professional		$590.50	$722.16	$921.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $556.30 / $772.71 / $948.45	Professional		$556.30	$772.71	$948.45
United Facility/Professional Professional Modifier Low / Median / High Price $454.02 / $671.15 / $1,016.93	Professional		$454.02	$671.15	$1,016.93