Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $352.76 / $432.80	Professional		$262.55	$352.76	$432.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.16 / $878.18 / $1,068.58	Professional		$726.16	$878.18	$1,068.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $564.48 / $862.61	Facility		$373.38	$564.48	$862.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $613.24 / $758.19 / $1,219.04	Professional		$613.24	$758.19	$1,219.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.95 / $706.20 / $860.28	Facility		$500.95	$706.20	$860.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.49 / $627.04 / $892.42	Facility		$375.49	$627.04	$892.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.24 / $690.82 / $980.56	Professional		$513.24	$690.82	$980.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $370.25 / $532.14 / $550.62	Facility		$370.25	$532.14	$550.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.18 / $772.20 / $1,054.81	Professional		$485.18	$772.20	$1,054.81
United Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $704.48 / $1,096.17	Professional		$490.08	$704.48	$1,096.17