Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.56 / $347.56 / $731.70	Facility		$347.56	$347.56	$731.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $303.66 / $347.56	Professional		$303.66	$303.66	$347.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.94 / $621.94 / $621.94	Facility		$621.94	$621.94	$621.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.92 / $1,020.70 / $1,181.28	Professional		$884.92	$1,020.70	$1,181.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $303.66 / $402.44 / $652.87	Facility		$303.66	$402.44	$652.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $232.86 / $232.86 / $447.80	Professional		$232.86	$232.86	$447.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $347.56 / $491.65 / $819.41	Facility		$347.56	$491.65	$819.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.66 / $434.45 / $695.12	Facility		$303.66	$434.45	$695.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $434.45 / $608.23	Professional		$310.97	$434.45	$608.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $458.34 / $687.51	Facility		$68.34	$458.34	$687.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $347.56 / $347.56	Professional		$347.56	$347.56	$347.56
United Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $350.61	Professional		$304.88	$304.88	$350.61