Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.39 / $476.39 / $476.39	Facility		$476.39	$476.39	$476.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.20 / $296.20 / $1,704.98	Professional		$296.20	$296.20	$1,704.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $376.09	Facility		$376.09	$376.09	$376.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $376.09 / $445.19	Professional		$319.68	$376.09	$445.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.31 / $499.26 / $1,527.31	Professional		$388.31	$499.26	$1,527.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.20 / $639.01 / $732.89	Facility		$296.20	$639.01	$732.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $526.99 / $696.25	Professional		$59.63	$526.99	$696.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $554.73 / $639.01 / $721.15	Facility		$554.73	$639.01	$721.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $554.73 / $581.19 / $676.00	Professional		$554.73	$581.19	$676.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.20 / $572.22 / $849.80	Facility		$296.20	$572.22	$849.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.09 / $519.89 / $646.28	Professional		$376.09	$519.89	$646.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $835.44 / $835.44 / $982.70	Facility		$835.44	$835.44	$982.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $566.54 / $566.54 / $566.54	Professional		$566.54	$566.54	$566.54
United Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $329.84 / $549.74	Professional		$286.08	$329.84	$549.74