Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.22 / $559.22 / $559.22	Facility		$559.22	$559.22	$559.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.47 / $375.47 / $2,167.12	Professional		$375.47	$375.47	$2,167.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $461.38	Facility		$461.38	$461.38	$461.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $461.38 / $530.85	Professional		$392.17	$461.38	$530.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.77 / $675.99 / $1,792.88	Professional		$525.77	$675.99	$1,792.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.47 / $564.46 / $751.10	Facility		$375.47	$564.46	$751.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $563.90 / $751.10	Professional		$59.27	$563.90	$751.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.99 / $751.10 / $901.32	Facility		$675.99	$751.10	$901.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $713.55 / $751.10 / $751.10	Professional		$713.55	$751.10	$751.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.47 / $537.58 / $751.10	Facility		$375.47	$537.58	$751.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.38 / $657.69 / $733.50	Professional		$461.38	$657.69	$733.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,061.89 / $1,061.89 / $1,249.06	Facility		$1,061.89	$1,061.89	$1,249.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $714.91 / $714.91 / $714.91	Professional		$714.91	$714.91	$714.91
United Facility/Professional Professional Modifier Low / Median / High Price $299.81 / $318.51 / $623.48	Professional		$299.81	$318.51	$623.48