Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.80 / $690.80 / $690.80	Facility		$690.80	$690.80	$690.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.98 / $395.98 / $2,279.06	Professional		$395.98	$395.98	$2,279.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $647.96	Facility		$647.96	$647.96	$647.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $605.17 / $647.96	Professional		$473.01	$605.17	$647.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.50 / $608.58 / $2,214.71	Professional		$532.50	$608.58	$2,214.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.98 / $809.13 / $923.20	Facility		$395.98	$809.13	$923.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $692.39 / $798.76	Professional		$76.06	$692.39	$798.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.72 / $794.43 / $980.87	Facility		$760.72	$794.43	$980.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.98 / $647.96 / $923.20	Facility		$395.98	$647.96	$923.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.17 / $695.02 / $868.35	Professional		$605.17	$695.02	$868.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,116.74 / $1,116.74 / $1,313.58	Facility		$1,116.74	$1,116.74	$1,313.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $757.46 / $757.46 / $757.46	Professional		$757.46	$757.46	$757.46
United Facility/Professional Professional Modifier Low / Median / High Price $372.53 / $379.17 / $738.56	Professional		$372.53	$379.17	$738.56