Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.20 / $737.20 / $737.20	Facility		$737.20	$737.20	$737.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.71 / $420.71 / $2,428.31	Professional		$420.71	$420.71	$2,428.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $516.79	Facility		$516.79	$516.79	$516.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.27 / $516.79 / $675.66	Professional		$439.27	$516.79	$675.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.13 / $757.46 / $2,363.48	Professional		$589.13	$757.46	$2,363.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.71 / $733.56 / $841.62	Facility		$420.71	$733.56	$841.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $631.22 / $841.33	Professional		$79.95	$631.22	$841.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $757.46 / $841.62 / $1,009.94	Facility		$757.46	$841.62	$1,009.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $799.54 / $841.62 / $925.78	Professional		$799.54	$841.62	$925.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.71 / $698.63 / $975.55	Facility		$420.71	$698.63	$975.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $736.95 / $821.90	Professional		$516.79	$736.95	$821.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,189.86 / $1,189.86 / $1,399.60	Facility		$1,189.86	$1,189.86	$1,399.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $801.07 / $801.07 / $801.07	Professional		$801.07	$801.07	$801.07
United Facility/Professional Professional Modifier Low / Median / High Price $389.76 / $419.88 / $821.90	Professional		$389.76	$419.88	$821.90