Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.48 / $453.48 / $453.48	Facility		$453.48	$453.48	$453.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.18 / $274.18 / $1,578.16	Professional		$274.18	$274.18	$1,578.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $354.55	Facility		$354.55	$354.55	$354.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $354.55 / $427.32	Professional		$301.37	$354.55	$427.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.15 / $457.90 / $1,453.88	Professional		$356.15	$457.90	$1,453.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.18 / $602.47 / $692.15	Facility		$274.18	$602.47	$692.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $493.17 / $657.54	Professional		$56.32	$493.17	$657.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.78 / $578.20 / $675.93	Facility		$508.78	$578.20	$675.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $525.64 / $637.87	Professional		$457.90	$525.64	$637.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.29 / $482.80 / $802.58	Facility		$239.29	$482.80	$802.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $481.20 / $604.45	Professional		$354.55	$481.20	$604.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $773.30 / $773.30 / $909.60	Facility		$773.30	$773.30	$909.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.38 / $524.38 / $524.38	Professional		$524.38	$524.38	$524.38
United Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $272.36 / $523.38	Professional		$272.36	$272.36	$523.38