Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.68 / $355.68 / $355.68	Facility		$355.68	$355.68	$355.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.49 / $256.49 / $1,394.25	Professional		$256.49	$256.49	$1,394.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $310.87	Facility		$310.87	$310.87	$310.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $378.06	Professional		$264.24	$310.87	$378.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.94 / $393.35 / $1,140.31	Professional		$305.94	$393.35	$1,140.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.49 / $572.92 / $762.38	Facility		$256.49	$572.92	$762.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $424.32 / $586.10	Professional		$43.71	$424.32	$586.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $437.05 / $551.91 / $744.51	Facility		$437.05	$551.91	$744.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $459.93 / $629.26	Professional		$415.20	$459.93	$629.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.49 / $458.34 / $762.38	Facility		$256.49	$458.34	$762.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $450.09 / $596.65	Professional		$310.87	$450.09	$596.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $490.39 / $490.39 / $490.39	Professional		$490.39	$490.39	$490.39
United Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $265.73 / $461.11	Professional		$230.56	$265.73	$461.11