Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.99 / $765.99 / $765.99	Facility		$765.99	$765.99	$765.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.08 / $457.69 / $2,634.18	Professional		$453.08	$457.69	$2,634.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $369.39	Facility		$369.39	$369.39	$369.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $369.39 / $711.17	Professional		$269.64	$369.39	$711.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.15 / $709.89 / $2,455.78	Professional		$621.15	$709.89	$2,455.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.69 / $914.33 / $1,043.22	Facility		$457.69	$914.33	$1,043.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $787.30 / $931.73	Professional		$88.74	$787.30	$931.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $887.36 / $956.52 / $1,127.95	Facility		$887.36	$956.52	$1,127.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $887.36 / $944.88 / $1,025.41	Professional		$887.36	$944.88	$1,025.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $640.58 / $1,043.22	Facility		$369.39	$640.58	$1,043.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $369.39 / $803.36 / $998.51	Professional		$369.39	$803.36	$998.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,290.75 / $1,290.75 / $1,518.26	Facility		$1,290.75	$1,290.75	$1,518.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $875.55 / $875.55 / $875.55	Professional		$875.55	$875.55	$875.55
United Facility/Professional Professional Modifier Low / Median / High Price $420.97 / $435.42 / $854.11	Professional		$420.97	$435.42	$854.11